Individual
DR. STEVEN R GRINDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12000 ELM CREEK BLVD N, SUITE #220, MAPLE GROVE, MN 55369-7073
(763) 420-4421
Mailing address
8228 REVELWOOD PL, MAPLE GROVE, MN 55311-1534
(763) 420-7158
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9790
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10656
BCBS
MN
Enumeration date
03/22/2007
Last updated
07/08/2007
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