Individual
KRISTA GROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
502 W HARRIE ST, NEWBERRY, MI 49868-1209
(906) 293-9233
(906) 293-9285
Mailing address
502 W HARRIE ST, NEWBERRY, MI 49868-1209
(906) 293-9233
(906) 293-9285
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704120474
MI
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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