Individual
DR. DAVID WILLIAM GROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6425 NICOLLET AVE, SUITE # 202, RICHFIELD, MN 55423-1675
(612) 869-2086
(612) 869-4903
Mailing address
6425 NICOLLET AVE, SUITE # 202, RICHFIELD, MN 55423-1675
(612) 869-2086
(612) 869-4903
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
29749
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03-00033
MEDICA CHOICE & PRIMARY
MN
01
—
0492002
PREFERRED ONE
MN
01
—
09Q99GR
BCBS
MN
01
—
100187
UCARE
MN
01
—
20931
ARAZ
MN
05
—
722390100
—
MN
01
—
HP13424
HEALTHPARTNERS
MN
Enumeration date
07/07/2006
Last updated
07/23/2012
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