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Individual

DR. CARLA MARGARET GROSMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101
(651) 291-2848
(651) 602-6885
Mailing address
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101
(516) 291-2848
(651) 602-6885

Taxonomy

Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
64702
MN
2084N0400X
Neurology Physician
Primary
64702
MN
2084N0400X
Neurology Physician
G84717
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G847170
CA
Enumeration date
11/13/2006
Last updated
12/07/2018
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