IndividualActive
M Gronholz-Dero
NPI 1093700593 · Family Medicine Physician · Coeur D Alene, ID
M Gronholz-Dero is a Family Medicine Physician provider in Coeur D Alene, ID (NPI 1093700593).
Provider details
- NPI number
- 1093700593
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 0-45 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
914 W Ironwood Dr
Coeur D Alene, ID 83814-4927
Phone: (208) 765-5922
Fax: (208) 664-3169
Street-level locationGet directions
Mailing address
914 W Ironwood Dr
Coeur D Alene, ID 83814-4927
Registry dates
- Enumerated
- 2005-09-12
- Last updated
- 2007-07-08
Frequently asked questions
- What is M Gronholz-Dero's NPI number?
- M Gronholz-Dero's National Provider Identifier (NPI) is 1093700593, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is M Gronholz-Dero's specialty?
- M Gronholz-Dero is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is M Gronholz-Dero located?
- M Gronholz-Dero's practice location on file with NPPES is 914 W Ironwood Dr, Coeur D Alene, ID 83814-4927.
- What is M Gronholz-Dero's phone number?
- The practice phone number listed in the NPPES registry for M Gronholz-Dero is (208) 765-5922.
- Is M Gronholz-Dero's NPI active?
- Yes — M Gronholz-Dero's NPI (1093700593) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.