Individual
DR. DWIGHT A GROTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6500 EXCELSIOR BLVD, MINNEAPOLIS, MN 55426-4702
(952) 993-5290
Mailing address
PO BOX 385760, BLOOMINGTON, MN 55438-5760
(952) 944-0970
(952) 944-1761
Taxonomy
Speciality
Code
Description
License number
State
207ZI0100X
Immunopathology Physician
Primary
31398
MN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
31398
MN
207ZP0104X
Chemical Pathology Physician
31398
MN
Other
Enumeration date
03/21/2006
Last updated
09/11/2007
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