Individual
LAURIE K. GROTZINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
560 S MAPLE ST, SUITE 400, WACONIA, MN 55387-1733
(952) 442-7804
Mailing address
560 S MAPLE ST, SUITE 400, WACONIA, MN 55387-1733
(952) 442-7804
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
11354
MN
Other
Enumeration date
07/27/2012
Last updated
10/27/2016
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