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Robert J Groenewold

Male

Medical Specialty

Certified Registered Nurse Anesthetist

Professional ID

NPI: 1518978840
PECOS ID: 4789650565
Enrollment ID: I20040902001040
Credential(MD, DO, DPM): CNA
Medical School:
Medical School Graduation Year: 2000

Hospital Service

Hospital CCN1: 430016
Business Name (LBN)1: Avera Mckennan Hospital University Health Center

Medical Practices

Organization Name: Avera Mckennan
Group Practice ID assigned by PECOS: 0345157103
Number of Group Practice member: 611

Location

Address1: 1325 S Cliff Ave
Address2:
City: Sioux Falls
State: South Dakota
Zip Code: 57105
Phone Number:

Location

Address1: 909 N Iowa Ave
Address2:
City: Dell Rapids
State: South Dakota
Zip Code: 57022
Phone Number: (605)428-5431

Medicare

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