Individual
HEIDI LYNN GRUENHAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2530 CHICAGO AVE, MINNEAPOLIS, MN 55404-4289
(612) 874-1292
Mailing address
3424 CHERRY LN UNIT A, WOODBURY, MN 55129-7727
(507) 276-6909
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R176316-8
MN
Other
Enumeration date
05/22/2013
Last updated
05/22/2013
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