Individual
DR. DAVID WILLIAM GROTH
Active
Individual
DR. DAVID WILLIAM GROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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