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Individual

RONALD GRENKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 544-5511
Mailing address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 544-5511

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD048891L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000187809
UNISON
PA
01
000416656
HIGHMARK BLUE SHIELD
PA
05
001394250 0008
PA
01
0206056000
INDEPENDENCE BLUE CROSS
PA
01
1512074
GATEWAY
PA
01
1527859
AETNA HMO
PA
01
20050765
AMERIHEALTH MERCY
PA
01
21676
GEISINGER HEALTH PLAN
PA
01
4299878
AETNA NON-HMO
PA
01
50060185
CAPITAL BLUE CROSS AND KEYSTONE HEALTH PLAN CENTRAL
PA
01
P00351049
RR MEDICARE
PA
Enumeration date
04/06/2006
Last updated
03/30/2011
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