Individual
BETH GROSKREUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
512 30TH AVE E STE 100, ALEXANDRIA, MN 56308-5096
(320) 762-5411
Mailing address
891 BELSLY BLVD, MOORHEAD, MN 56560-5055
(218) 287-4338
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
MN
Other
Enumeration date
03/08/2019
Last updated
03/08/2019
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