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Individual

MERRY CATHERINE GROSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2245 REILING RD, SAINT PAUL, MN 55110-1023
(815) 871-4568
Mailing address
2245 REILING RD, SAINT PAUL, MN 55110-1023
(815) 871-4568

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2478247
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
143897
MN

Other

Enumeration date
04/18/2020
Last updated
08/29/2022
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