Gronski, Theodore J

Gronski, Theodore J is an individual health care provider with primary practice located at 2900 W Oklahoma Ave , Milwaukee WI 53215-4330. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Gronski, Theodore J can be contacted via phone (414) 649-6572.

Contact Information

Primary practice address
2900 W Oklahoma Ave Milwaukee WI 53215-4330
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 39890-020 Wisconsin

Profile Details

NPI number 1659320059
LBN Legal business name Gronski, Theodore J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Nov 23rd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659320059 NPPES
Wisconsin MEDICAID 32454400
Wisconsin Other 290011108

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