M JILL GRONHOLZ-DERO
NPI 1093700593
Family Medicine in Coeur D Alene, ID

Active since September 12, 2005
914 W IRONWOOD DR, COEUR D ALENE, ID 83814(208) 765-5922(208) 664-3169 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About M Jill Gronholz-dero NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

M JILL GRONHOLZ-DERO (NPI 1093700593) is an individual family medicine provider in Coeur D Alene, Idaho, licensed in Idaho (0-45) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1093700593
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameM JILL GRONHOLZ-DERO
Location Address914 W IRONWOOD DRCoeur D Alene, ID 83814-4927
Mailing Address914 W Ironwood DrCoeur D Alene, ID 83814-4927 · (208) 765-5922 · Fax (208) 664-3169
Fax(208) 664-3169
Sole ProprietorNo
Enumeration DateSeptember 12, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1093700593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in ID · 0-45
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

914 W IRONWOOD DR, Coeur D Alene, ID 83814

Other Identifiers 3

Medicare ID-Type Unspecified1302782ID
Medicare ID-Type Unspecified1790296ID
Medicare UPINE19318

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
914 W IRONWOOD DR, STE 102
COEUR D ALENE, ID 83814

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is M Gronholz-dero's NPI number?

The NPI number for M Gronholz-dero is 1093700593. It was assigned to this individual provider in the NPPES registry on September 12, 2005.

Where is M Gronholz-dero located?

M Gronholz-dero practices at 914 W Ironwood Dr, Coeur D Alene, ID 83814. The listed phone number is (208) 765-5922.

What is M Gronholz-dero's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for M Gronholz-dero was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.