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Individual

PETRUS C DE GROEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 672-7422
Mailing address
1065 23RD AVE SW, ROCHESTER, MN 55902-3452

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
28044
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
339526000
MN
Enumeration date
01/23/2006
Last updated
02/10/2026
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