Individual
BETHANY JEAN GROMMESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6500 EXCELSIOR BLVD, PARK NICOLLET, ST LOUIS PARK, MN 55426
(952) 993-5000
Mailing address
6401 FRANCE AVE S, EDINA, MN 55435-2104
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
46356
MN
Other
Enumeration date
04/06/2006
Last updated
07/27/2015
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