Individual
DR. CAROL JOAN GROBNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1225 E COOLSPRING AVE STE 2B, MICHIGAN CITY, IN 46360-6312
(219) 878-5029
(219) 878-8493
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02002248A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201290810
—
IN
Enumeration date
03/09/2006
Last updated
07/31/2023
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