Individual
JOHN R GRITTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 S WABASHA ST, ST. PAUL, MN 55107-1805
(651) 293-8300
(651) 293-8130
Mailing address
8170 33RD AVE S, MAILSTOP 21113A, BLOOMINGTON, MN 55425
(952) 883-5155
(952) 883-5160
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12799
MN
Other
Enumeration date
07/09/2010
Last updated
10/16/2015
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