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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GRAYSON W BLOMBERG, PA-C

Active

GRAYSON W BLOMBERG, PA-C is a Surgical Physician Assistant healthcare provider located in PLYMOUTH, Minnesota. NPI 1003057118 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · PLYMOUTH, MN

Registration Details

NPI Number
1003057118
Provider Type
Individual
Gender
Male
NPI Issued
Mar 19, 2009 (17.396202953196 yrs)
Last Updated
Jul 21, 2022
License
10560 (MN)

Practice Information

Address
15700 37TH AVE N STE 150
PLYMOUTH, MN, 554463675
Browse MN providers · Browse ZIP 55446
Phone
6519685201
Primary Specialty
Surgical Physician Assistant
363AS0400X

Other Surgical Physician Assistant Providers in PLYMOUTH, MN

Name Credential NPI
CATHERINE K ROBINSON PA-C 1760776793
BRENDAN MURPHY PA-C 1447600283
HANNAH HUGHES 1912595042
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.