Individual
KIMBERLY GROB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 PLYMOUTH RD STE 305, MINNETONKA, MN 55305-2335
(651) 900-5593
Mailing address
2000 PLYMOUTH RD STE 305, MINNETONKA, MN 55305-2335
(651) 900-5593
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F0216474
MN
Other
Enumeration date
05/06/2016
Last updated
04/24/2024
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