person
Gerald E Gronborg, DPM
Radiology Podiatrist in Altoona, Pennsylvania
NPI 1902884950

Gerald E Gronborg is a Radiology Podiatrist based in Altoona, PA and is specialized in Radiology. Gerald E Gronborg practices in Altoona, PA and has the professional credentials of DPM. The NPI Number for Gerald E Gronborg is 1902884950 and holds a License No. SC003442L (Pennsylvania).

The current practice location address for Gerald E Gronborg is 2727 Beale Ave, Altoona, PA and can be reached out via phone at 814-946-1075 and via fax at 814-946-4076.

Location: 2727 Beale Ave, Altoona, PA, 16601-1705
person
Provider Profile Details
NPI Number
1902884950
Provider Name
Gerald E Gronborg
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
2727 Beale Ave, Altoona, PA, 16601-1705
Phone Number
814-946-1075
Fax Number
814-946-4076
Provider Enumeration Date
01/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0012762560012 05 PA
5166987 01 PA PPNI
826758 01 PA BLUE SHIELD GROUP
000706203 01 PA KEYSTONE HEALTH PLAN
CC2226 01 PA RR MEDICARE GROUP
P 54229714 01 PA MULTIPLAN
0012762560009 05 PA
0012762560010 05 PA
0857830000 01 PA PPO PROGRAM INDEPENDENCE
200069 01 PA UPMC
2805196 01 PA AETNA HMO QPOS
21128765012 01 PA BEECH STREET
480013965 01 PA RR MEDICARE INDIVIDUAL
1022107 01 PA GATEWAY
7318023 01 PA MAMSI
GR706203 01 PA BLUE SHIELD INDIVIDUAL
000000060525 01 PA UNISON
institution
Provider Business Practice Location Address Details
Address
2727 Beale Ave
City
State
Zip
16601-1705
Phone Number
814-946-1075
Fax Number
814-946-4076
person
Provider Business Mailing Address Details
Address
2727 Beale Ave
City
State
Zip
16601-1705
Phone Number
814-946-1075
Fax Number
814-946-4076
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
License No.
SC003442L (Pennsylvania)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
SC003442L (Pennsylvania)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Radiology
Taxonomy
License No.
SC003442L (Pennsylvania)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
SC003442L (Pennsylvania)
Definition
Definition to come...
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