Individual
KRISTIN MARIE GROESSL
Active
Individual
KRISTIN MARIE GROESSL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1164-023
WI
363A00000X
Physician Assistant
PA61092965
WA
363AS0400X
Surgical Physician Assistant
1164-023
WI
363AS0400X
Surgical Physician Assistant
56266
CA
363AS0400X
Surgical Physician Assistant
Primary
PA61092965
WA
Other
Enumeration date
11/15/2005
Last updated
12/18/2020
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