Individual
DR. WESLEY ROBERT GROOTWASSINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14001 RIDGEDALE DR, STE 200, MINNETONKA, MN 55305-1753
(952) 249-2000
(952) 249-2099
Mailing address
14001 RIDGEDALE DR, STE 200, MINNETONKA, MN 55305-1753
(952) 249-2000
(952) 249-2099
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
36153
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172828800
—
MN
Enumeration date
06/27/2005
Last updated
05/30/2008
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