Individual
DR. CRYSTAL LYNN ROSE GROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
122 TYLER RD S, RED WING, MN 55066-1733
(651) 388-8113
(651) 388-8113
Mailing address
4120 PARKLAWN AVE APT 224, EDINA, MN 55435-4675
(952) 594-2203
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6406
MN
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
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