Individual
JOE GRONINGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
2383 UNIVERSITY AVE W, SUITE 200, SAINT PAUL, MN 55114-1603
(651) 644-4100
(651) 644-4885
Mailing address
2383 UNIVERSITY AVE W, SUITE 200, SAINT PAUL, MN 55114-1603
(651) 644-4100
(651) 644-4885
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5400
MN
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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