M Jill Gronholz-Dero
NPI #1093700593 in Coeur D Alene, Idaho
Provider Information
- NPI Number
- 1093700593
- Entity Type
- Individual
- Name
- M Jill Gronholz-Dero
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 12, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 914 W IRONWOOD DR
- City
- Coeur D Alene
- State
- Idaho
- ZIP Code
- 83814-4927
- Phone
- (208) 765-5922
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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