Bethany Jean Grommesh, MD

NPI #1225090905 in St Louis Park, Minnesota

Provider Information

NPI Number: 1225090905
Entity Type: Individual
Name: Bethany Jean Grommesh, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Apr 6, 2006
Last Updated: Jul 27, 2015

Practice Location

Address: 6500 EXCELSIOR BLVD
Address 2: PARK NICOLLET
City: St Louis Park
State: Minnesota
ZIP Code: 55426
Phone: (952) 993-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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