Individual
KARLA ROSE GRENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11269 JEFFERSON HWY N, CHAMPLIN, MN 55316-3123
(612) 427-9620
(612) 427-9626
Mailing address
2925 CHICAGO AVE, MR 10809, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28703
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
895877700
—
MN
Enumeration date
03/20/2006
Last updated
03/11/2021
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