Individual
DR. PATRICIA V GRODECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2139 AUBURN AVE, BALDWIN BLDG. 5 SOUTH, CINCINNATI, OH 45219-2906
(513) 585-1954
(513) 585-0607
Mailing address
6905 BURLINGTON PIKE, SUITE E, FLORENCE, KY 41042-1618
(859) 282-0500
(859) 282-7324
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
39058
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0892995
—
OH
05
—
50024714
—
KY
05
—
64093057
—
KY
Enumeration date
05/23/2005
Last updated
03/21/2011
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