Individual
MR. RICHARD T GRODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
5405 HELENA RD N, OAKDALE, MN 55128-3051
(651) 353-6273
Mailing address
5405 HELENA RD N, OAKDALE, MN 55128-3051
(651) 353-6273
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1060049
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
749465300
—
MN
Enumeration date
03/29/2006
Last updated
12/18/2024
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