Individual
JENNIFER E GRUNDHOFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1415 SAINT FRANCIS AVE, SHAKOPEE, MN 55379-3374
(952) 993-7750
Mailing address
8870 REFLECTIONS RD, CHANHASSEN, MN 55317-4001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10027
MN
Other
Enumeration date
02/22/2006
Last updated
04/16/2012
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