Individual
DR. THERESA JOAN GROMALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2200 W 89TH ST, BLOOMINGTON, MN 55431-2007
(612) 599-9625
Mailing address
2200 W 89TH ST, BLOOMINGTON, MN 55431-2007
(612) 599-9625
Taxonomy
Speciality
Code
Description
License number
State
111NX0100X
Occupational Health Chiropractor
Primary
2278
MN
1744R1102X
Research Study Specialist
—
—
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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