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Susan K. Grothe
Clinic/Center in Lake Elmo, Minnesota
NPI 1912765488

Susan K. Grothe is a Clinic/Center based in Stillwater, MN. Susan K. Grothe practices in Lake Elmo, MN. The NPI Number for Susan K. Grothe is 1912765488 and holds a License No. 410794 (Minnesota).

The current practice location address for Susan K. Grothe is 11200 Stillwater Blvd N Ste 101, Lake Elmo, MN and can be reached out via phone at 952-207-4899.

Location: 11200 Stillwater Blvd N Ste 101, Lake Elmo, MN, 55082-4515
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912765488
Provider Name
Susan K. Grothe
Credential
Provider Entity Type
Individual
Gender
Female
Address
11200 Stillwater Blvd N Ste 101, Lake Elmo, MN, 55082-4515
Phone Number
952-207-4899
Fax Number
Provider Enumeration Date
03/11/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
11200 Stillwater Blvd N Ste 101
City
Lake Elmo
State
Minnesota
Zip
55042-8625
Phone Number
952-207-4899
Fax Number
person
Provider Business Mailing Address Details
Address
11200 Stillwater Blvd N Ste 101
City
Lake Elmo
State
Minnesota
Zip
55042-8625
Phone Number
952-207-4899
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
410794 (Minnesota)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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