Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

M Jill Gronholz-Dero

Individual provider Family Medicine Physician · NPI 1093700593

M Jill Gronholz-Dero is a Family Medicine Physician in Coeur D Alene, Idaho. Licensed in Idaho. Registered with an NPI since 2005.

Licensed in
ID
In the registry since
2005

Practice location Address checks out

914 W Ironwood Dr
Coeur D Alene, ID 83814-4927
Phone: (208) 765-5922
Fax: (208) 664-3169
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0-45 (ID)

Record details

NPI number1093700593
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 12, 2005
Last updated in NPPESJuly 8, 2007

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