Individual
MRS. KATIE GRAUSAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6401 FRANCE AVE S, EDINA, MN 55435-2104
(952) 924-8463
(952) 924-8358
Mailing address
6401 FRANCE AVE S, EDINA, MN 55435-2104
(952) 924-8463
(952) 924-8358
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/25/2015
Last updated
05/04/2018
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