IndividualActive
John Grolich, BA
NPI 1093350902 · Basic Emergency Medical Technician · Plymouth, IN
Provider details
- NPI number
- 1093350902
- Entity type
- Individual
- Primary specialty
- Basic Emergency Medical TechnicianEmergency Medical Service Providers
- Credential
- BA
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Emergency Medical Service Providers
Practice location
2855 Miller Dr Ste 117
Plymouth, IN 46563-8091
Phone: (574) 936-7777
Fax: (574) 341-1072
Approximate (ZIP-level) locationGet directions
Mailing address
2855 Miller Dr Ste 117
Plymouth, IN 46563-8091
Registry dates
- Enumerated
- 2019-11-14
- Last updated
- 2019-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.