Individual
GINA RAE GROSHEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5366 386TH ST NE, NORTH BRANCH, MN 55056-5833
(855) 324-7843
Mailing address
8353 IRONWOOD TRL, CHISAGO CITY, MN 55013
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
67605
MN
Other
Enumeration date
03/20/2019
Last updated
07/26/2022
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