Individual
BRIAN JOSEPH GROSAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, TCMD, LAC
Contact information
Practice address
723 MAINSTREET, HOPKINS, MN 55343-7624
(952) 935-0600
Mailing address
4301 WILLISTON RD, MINNETONKA, MN 55345-2948
(952) 935-0600
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1456
MN
Other
Enumeration date
05/11/2010
Last updated
05/11/2010
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