Individual
MR. DEREK K GROENEWEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
300 S BRUCE ST, MARSHALL, MN 56258-1934
(507) 537-9007
(507) 537-2734
Mailing address
300 S BRUCE ST, MARSHALL, MN 56258-1934
(507) 537-9007
(507) 537-2734
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2598
MN
Other
Enumeration date
09/01/2016
Last updated
10/21/2016
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