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John M. Grollmus

Debarred entity
TypePerson[sources]
NameJohn M. Grollmus[sources]
Birth datenot available[sources]
Nationalitynot available[sources]
CountryUnited States[sources]
First nameJohn[sources]
Last nameGrollmus[sources]
Middle nameM.[sources]
NPI1356387195 · 1851337380[sources]
Registration number00C279790 · 00C279791 · C27979 · CGP153850[sources]
SectorPhysician[sources]
Address3223 Gough Street, San Francisco, CA 94123[sources]
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US California Medicaid Suspended and ineligible providers23,294

Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.

United States · DHCS


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