IndividualActive
Timothy Gronlie, M.D.
NPI 1720007404 · Vascular & Interventional Radiology Physician · Wichita, KS
Provider details
- NPI number
- 1720007404
- Entity type
- Individual
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 0430825 (KS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
550 N Hillside
Wichita, KS 67214-4910
Phone: (316) 962-2900
Fax: (316) 962-7815
Approximate (ZIP-level) locationGet directions
Mailing address
551 N. Hillside
Wichita, KS 67214-4926
Registry dates
- Enumerated
- 2006-07-19
- Last updated
- 2023-11-20
- Certified
- 2023-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.