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Individual

JAMES GRINOLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1020 BANDANA BLVD W, SAINT PAUL, MN 55108-5107
(651) 641-7021
(651) 641-7151
Mailing address
1021 BANDANA BLVD E, SUITE 200, SAINT PAUL, MN 55108-5113
(651) 642-2700
(651) 642-9441

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35399
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
786716600
MN
Enumeration date
07/17/2006
Last updated
07/08/2007
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