Individual
GERALD E GRONBORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
214 PEACH ORCHARD RD, MC CONNELLSBURG, PA 17233-8559
(717) 485-3155
(717) 485-6105
Mailing address
214 PEACH ORCHARD RD, MC CONNELLSBURG, PA 17233-8559
(717) 485-3155
(717) 485-8105
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
SC003442L
PA
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
SC003442L
PA
213ER0200X
Radiology Podiatrist
SC003442L
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
SC003442L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000060525
UNISON
PA
01
—
000706203
KEYSTONE HEALTH PLAN
PA
05
—
0012762560009
—
PA
05
—
0012762560010
—
PA
05
—
0012762560012
—
PA
01
—
0857830000
PPO PROGRAM INDEPENDENCE
PA
01
—
1022107
GATEWAY
PA
01
—
200069
UPMC
PA
01
—
21128765012
BEECH STREET
PA
01
—
2805196
AETNA HMO QPOS
PA
01
—
480013965
RR MEDICARE INDIVIDUAL
PA
01
—
5166987
PPNI
PA
01
—
7318023
MAMSI
PA
01
—
826758
BLUE SHIELD GROUP
PA
01
—
CC2226
RR MEDICARE GROUP
PA
01
—
GR706203
BLUE SHIELD INDIVIDUAL
PA
01
—
P 54229714
MULTIPLAN
PA
Enumeration date
01/09/2006
Last updated
08/22/2025
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