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Individual

DR. DWIGHT A GROTTE

Active
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Individual

DR. DWIGHT A GROTTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207ZI0100X
Immunopathology Physician
Primary
31398
MN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
31398
MN
207ZP0104X
Chemical Pathology Physician
31398
MN

Other

Enumeration date
03/21/2006
Last updated
09/11/2007
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