Individual
DR. DERIC GROHOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
400 MIDDLE RD, NANTICOKE, PA 18634-3821
(570) 208-7711
Mailing address
209 CENTER ST, NANTICOKE, PA 18634-4408
(570) 735-3824
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC011196
PA
Other
Enumeration date
08/30/2017
Last updated
08/30/2017
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