NPI 1093350902

John R Grolich, BA

Practitioner Basic Emergency Medical Technician Plymouth, IN

Practice location

Address: 2855 Miller Dr STE 117, Plymouth, IN 46563-8091
Phone: (574) 936-7777
Fax: (574) 341-1072

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X

Other Emergency Medical Technician, Basic providers in Indiana →

Registry record

NPI: 1093350902
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Nov 2019
Record last updated: 14 Nov 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.