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Angela M Grombacher

  • Female

Medical Specialty

Professional ID

  • NPI: 1528339389
  • PECOS ID: 0244491991
  • Enrollment ID: I20120405000629
  • Credential(MD, DO, DPM):
  • Medical School:
  • Medical School Graduation Year: 2005

Hospital Service

  • Hospital CCN1: 360051
  • Business Name (LBN)1: Miami Valley Hospital

Medical Practices

  • Organization Name: Anesthesiology Services Network Ltd
  • Group Practice ID assigned by PECOS: 8820902794
  • Number of Group Practice member: 164

Location

  • Address1: 2400 Miami Valley Dr
  • Address2:
  • City: Centerville
  • State: Ohio
  • Zip Code: 45459
  • Phone Number: (937)208-6173

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):