Individual
MARITA CHRISTINE GRONNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
420 DELAWARE ST SE, MMC 809, MINNEAPOLIS, MN 55455-0341
(612) 626-2663
(612) 626-2664
Mailing address
420 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0341
(612) 626-2663
(612) 626-2664
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10309
MN
Other
Enumeration date
11/06/2007
Last updated
03/08/2010
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