Individual
MR. BRENDON KIM GROEN
Active
Individual
MR. BRENDON KIM GROEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4797
MN
363LF0000X
Family Nurse Practitioner
23992
WI
363LF0000X
Family Nurse Practitioner
4797
MN
363LF0000X
Family Nurse Practitioner
7253
WI
363LF0000X
Family Nurse Practitioner
A145504
IA
363LF0000X
Family Nurse Practitioner
Primary
CNP4797
MN
363LF0000X
Family Nurse Practitioner
R-204839-0
MN
Other
Enumeration date
10/07/2016
Last updated
01/18/2023
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