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Individual

BRADLEY O GROHOSKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
269 PORTLAND WAY S, GALION, OH 44833-2312
(419) 468-4861
Mailing address
315 GATESHEAD CT, WESTERVILLE, OH 43081-4704
(614) 325-1194

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.0020152
OH

Other

Enumeration date
09/03/2020
Last updated
09/03/2020
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