Organization
CENTRAL MICHIGAN UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELLY J GRONDA (PROVIDER ENROLLMENT SPECIALIST)
(989) 774-3334
Entity
Organization
Contact information
Practice address
2981 HEALTH PKWY, SUITE B, MOUNT PLEASANT, MI 48858-9347
(989) 772-6880
(989) 772-6817
Mailing address
2981 HEALTH PKWY, SUITE B, MOUNT PLEASANT, MI 48858-9347
(989) 772-6880
(989) 772-6817
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4337963
—
MI
Enumeration date
02/14/2012
Last updated
10/22/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us