Individual
BETHANY ANN COOK GROTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3555 WILLOW LAKE BLVD STE 240, VADNAIS HEIGHTS, MN 55110-4464
(651) 770-0110
Mailing address
3555 WILLOW LAKE BLVD STE 240, VADNAIS HEIGHTS, MN 55110-4464
(651) 770-0110
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
55589
MN
Other
Enumeration date
04/13/2010
Last updated
02/01/2022
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