GENE A GROENENDAAL

ERIE, PA
NPI1407832777
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: PA  OS012139)
Enumeration Date2005-12-19
Last Update Date2024-05-21
Business Address
GENE A GROENENDAAL DO
3010 W LAKE RD
ERIE, PA 16505-3844
Phone number: 814-833-2385
Mailing Address
GENE A GROENENDAAL DO
3010 W LAKE RD
ERIE, PA 16505-3844
Phone number: 814-833-2385