MEDICARE: JAN C GROMADA DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	JG006098	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	114901620	OTHER	MI	MOLINA
3	141205	OTHER	MI	CARE CHOICES
4	1015855	OTHER	MI	MCLAREN HEALTH PLAN
5	1G00026	OTHER	MI	HEALTH PLAN OF MICHIGAN
6	C1522	OTHER	MI	MCARE HMO
7	1654410124	OTHER	MI	BCBS

General Provider Information

NPI Number	:	1841212701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAN C GROMADA DO

Provider Business Mailing Address
First Line	:	420 LAKE NEPRESSING RD
Second Line	:
City	:	LAPEER
State	:	MI
Zip	:	48446
Country	:	US
Telephone Number	:	810-245-9011
Fax Number	:

Provider Business Practice Location Address
First Line	:	420 LAKE NEPESSING RD
Second Line	:
City	:	LAPEER
State	:	MI
Zip	:	48446-2961
Country	:	US
Telephone Number	:	810-245-9011
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/23/2006
Last Update Date	:	12/10/2012

Similar Medicare Providers

1598112419 — KATIE KLEIN PHARMD
Practice Location Address:

540 S MAIN ST
LAPEER, MI
48446-2467

Practice Phone: 810-664-0391
Practice Fax:

1922526201 — CHRISTINA KAY HAGYARD
Practice Location Address:

1570 SUNCREST DR
LAPEER, MI
48446-1154

Practice Phone: 810-667-0500
Practice Fax:

1619808409 — AUDREY ALYSSA KREINER LMT
Practice Location Address:

204 E NEPESSING ST
LAPEER, MI
48446-2316

Practice Phone: 810-356-4646
Practice Fax:

1770008054 — AMBER EASTMAN
Practice Location Address:

1570 SUNCREST DRIVE
LAPEER, MI
48446

Practice Phone: 810-667-0500
Practice Fax: 810-664-8728

1861320889 — THUMB AREA EYE ASSOCIATES, PLLC
Practice Location Address:

333 W NEPESSING ST
LAPEER, MI
48446-2105

Practice Phone: 810-664-3937
Practice Fax:

1316377070 — VIRGIL KEEPES JR.
Practice Location Address:

2539 HENRY RD
LAPEER, MI
48446-9037

Practice Phone: 810-625-6065
Practice Fax:

Directions to “ JAN C GROMADA DO” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.