Individual
DANIEL GRUETZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
200 12TH ST SW, FOREST LAKE, MN 55025-1482
(651) 464-9742
Mailing address
14926 LEYTE ST NE, HAM LAKE, MN 55304-6430
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
126165
MN
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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