Nicklaus Gronning

NPI #1265683270 in Lino Lakes, Minnesota

Provider Information

NPI Number: 1265683270
Entity Type: Individual
Name: Nicklaus Gronning
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: Oct 8, 2008
Last Updated: Oct 8, 2008

Practice Location

Address: 576 APOLLO DR
City: Lino Lakes
State: Minnesota
ZIP Code: 55014-3004
Phone: (651) 784-1611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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