Individual
JAN C GROMADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
420 LAKE NEPESSING RD, LAPEER, MI 48446-2961
(810) 245-9011
Mailing address
420 LAKE NEPRESSING RD, LAPEER, MI 48446
(810) 245-9011
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
JG006098
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1015855
MCLAREN HEALTH PLAN
MI
05
—
114737651
—
MI
01
—
114901620
MOLINA
MI
01
—
141205
CARE CHOICES
MI
01
—
1654410124
BCBS
MI
01
—
1G00026
HEALTH PLAN OF MICHIGAN
MI
01
—
C1522
MCARE HMO
MI
Enumeration date
07/23/2006
Last updated
12/10/2012
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