MR. Michael Robert Grohman, IDC

NPI #1477766871 in Camp Pendleton, California

Provider Information

NPI Number
1477766871
Entity Type
Individual
Name
MR. Michael Robert Grohman, IDC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Military Health Care Provider - Independent Duty Corpsman
Credential
IDC
Enumeration Date
May 8, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
41256 STEWART MESA RD
ZIP Code
92055-5341
Phone
(760) 725-5250

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider - Independent Duty CorpsmanIndependent Duty Corpsman

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