| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | John M. Grollmus | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | John | [sources] | |||
| Last name | Grollmus | [sources] | |||
| Middle name | M. | [sources] | |||
| NPI | 1356387195 · 1851337380 | [sources] | |||
| Registration number | 00C279790 · 00C279791 · C27979 · CGP153850 | [sources] | |||
| Sector | Physician | [sources] | |||
| Address | 3223 Gough Street, San Francisco, CA 94123 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
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