person
Heidi Grondahl, PA-C
Military Health Care Provider in Apo, N/A
NPI 1962921049

Heidi Grondahl is a Military Health Care Provider based in Apo, . Heidi Grondahl practices in Apo, and has the professional credentials of PA-C. The NPI Number for Heidi Grondahl is 1962921049 and holds a License No. (N/A).

The current practice location address for Heidi Grondahl is Building 2, Del Din Clinic, Apo, and can be reached out via phone at 314-636-9764.

Location: Building 2, Del Din Clinic, Apo, , 09606-0013
person
Provider Profile Details
NPI Number
1962921049
Provider Name
Heidi Grondahl
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
Building 2, Del Din Clinic, Apo, , 09606-0013
Phone Number
314-636-9764
Fax Number
Provider Enumeration Date
09/11/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
Building 2, Del Din Clinic
City
Apo
State
Zip
09606
Phone Number
314-636-9764
Fax Number
person
Provider Business Mailing Address Details
Address
Building 2, Del Din Clinic
City
Apo
State
Zip
09606
Phone Number
314-636-9764
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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