Timothy M Gronlie in Wichita - Vascular & Interventional Radiology
Timothy M Gronlie - NPI 1720007404
Timothy M Gronlie is a Vascular & Interventional Radiology in Wichita, Kansas. Timothy M Gronlie practices all healthcare services and medical treatments related to Vascular & Interventional Radiology. The NPI Number for Timothy M Gronlie is 1720007404. The last update date is 2023-11-20.
Timothy M Gronlie's current location address is 550 N Hillside, Wichita, Kansas. You can contact this provider via phone number 3169622900 and fax number 3169627815. The mailing address for Timothy M Gronlie is 550 N Hillside, Wichita, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy M Gronlie |
|---|---|
| Address | 550 N Hillside, Wichita, Kansas |
| Phone Number | 3169622900 |
| Fax Number | 3169627815 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1720007404 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2023-11-20 |
Provider Mailing Address Detail
| Address | 550 N Hillside |
|---|---|
| City | Wichita |
| State | Kansas (KS) |
| Post Code | 672144910 |
| Phone Number | 3169622900 |
| Fax Number | 3169627815 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular & Interventional Radiology |
|---|---|
| Taxonomy | 2085R0204X |
| Licence No | 430825 |
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Definition: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200385940C | KS | -- | |
| 105646 | KS | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Timothy M Gronlie by the Centers for Medicare & Medicaid Services (CMS)?
The Timothy M Gronlie has been assigned the NPI (National Provider Identifier) 1720007404. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Timothy M Gronlie located?
The Timothy M Gronlie is located at 550 N Hillside, Wichita, KS 672144910.
What is Timothy M Gronlie's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Timothy M Gronlie's specialized field of practice is Vascular & Interventional Radiology, and the corresponding taxonomy code that categorizes this area of specialization is 2085R0204X.
When did Timothy M Gronlie receive its 1720007404 assignment?
The Timothy M Gronlie was assigned its 1720007404 on 2006-07-19, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Timothy M Gronlie last refreshed?
The information related to the Timothy M Gronlie, including its address, specialty, and other relevant details, was last updated on 2023-11-20.