Individual provider · Type 1 NPI

Stephanie Grondahl, DO

General Practice Physician · Lansing, MI

NPI number 1760805352 Active

Practice location

1200 E Michigan Ave Ste 460
Lansing, MI 48912-1897

Fax (517) 364-3336

Mailing address

6500 38th Ave N
St. Petersburg, FL 33710-1629

Other practice locations

  • 6500 38th Ave N, St. Petersburg, FL 33710-1629 · (727) 384-1414

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XUO3557 (FL)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

5 other providers at this address

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About NPI 1760805352

Stephanie Grondahl, DO's National Provider Identifier is 1760805352, issued on Feb 2, 2014. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Lansing, MI. The record was last updated on Mar 17, 2018.