Individual
CLIFF GRONSETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5387 MANHATTAN CIR, SUITE 200, BOULDER, CO 80303-4284
(303) 494-7773
(303) 494-1104
Mailing address
5387 MANHATTAN CIR, SUITE 200, BOULDER, CO 80303-4284
(303) 494-7773
(303) 494-1104
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
35231
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01352319
—
CO
Enumeration date
09/23/2005
Last updated
05/04/2017
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