Larry Jay Grong, D.O.

NPI #1871653758 in Dawson, Minnesota

Provider Information

NPI Number: 1871653758
Entity Type: Individual
Name: Larry Jay Grong, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: D.O.
Enumeration Date: Dec 11, 2006
Last Updated: Mar 18, 2022

Practice Location

Address: 1282 WALNUT ST
City: Dawson
State: Minnesota
ZIP Code: 56232
Phone: (320) 769-7393

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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