Individual
KIM MARIE GROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
701 PARK AVE, HCMC MEDICINE CLINIC P7, MINNEAPOLIS, MN 55415-1623
(612) 873-8707
Mailing address
701 PARK AVE, HCMC DIRECT CARE P5, MINNEAPOLIS, MN 55415-1623
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10595
MN
Other
Enumeration date
07/31/2009
Last updated
01/04/2011
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