Margo Aidan Gromoll M.D.

NPI 1407054455 - Pediatrics - 208000000X

NPI Details
NPI 1407054455
Gender Female
Enumeration Date 07/10/2007
Last Updated 07/10/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
530 NE GLEN OAK AVE
PEORIA IL, 61637-0001, US
Phone (309) 655-2000
Fax
Business Location
1501 E GARDNER LN APT 718
PEORIA HEIGHTS IL, 61616-3627, US
Phone (979) 966-3028
Fax
Toxanomy
Taxonomy Code 208000000X
License State
License Number
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According to our database, Dr. Margo Aidan Gromoll M.D. NPI is 1407054455, taxonomy code is 208000000X Margo Aidan Gromoll M.D. physically located at 530 Ne Glen Oak Ave, Peoria IL, 61637-0001. NPI Number Margo Aidan Gromoll M.D. has the Individual type.

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1407054455 NPI number is provided on an as is basis without warranty of any kind. 1407054455 is maintained by the National Plan & Provider Enumeration System. The contents of Margo Aidan Gromoll M.D. are for informational purposes only.