person
Grayson W Blomberg, PA-C
Surgical Physician Assistant in Plymouth, Minnesota
NPI 1003057118

Grayson W Blomberg is a Surgical Physician Assistant based in Woodbury, MN and is specialized in Surgical. Grayson W Blomberg practices in Plymouth, MN and has the professional credentials of PA-C. The NPI Number for Grayson W Blomberg is 1003057118 and holds a License No. 10560 (Minnesota).

The current practice location address for Grayson W Blomberg is 15700 37Th Ave N Ste 150, Plymouth, MN and can be reached out via phone at 651-968-5201. You can also correspond with Grayson W Blomberg through the mailing address at 710 COMMERCE DR STE 200, WOODBURY, MN - 55125-4925 (mailing address contact number: 651-968-5201).

Location: 15700 37Th Ave N Ste 150, Plymouth, MN, 55125-4925
person
Provider Profile Details
NPI Number
1003057118
Provider Name
Grayson W Blomberg
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
15700 37Th Ave N Ste 150, Plymouth, MN, 55125-4925
Phone Number
651-968-5201
Fax Number
Provider Enumeration Date
03/19/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15700 37Th Ave N Ste 150
City
State
Zip
55446-3675
Phone Number
651-968-5201
Fax Number
person
Provider Business Mailing Address Details
Address
15700 37Th Ave N Ste 150
City
State
Zip
55446-3675
Phone Number
651-968-5201
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
10560 (Minnesota)
Definition
Definition to come...
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