Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DEREK K GROENEWEG, PA
ActiveMR. DEREK K GROENEWEG, PA is a Surgical Physician Assistant healthcare provider located in MARSHALL, Minnesota. NPI 1255888772 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · MARSHALL, MN
Registration Details
- NPI Number
- 1255888772
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 1, 2016 (9.9408390343779 yrs)
- Last Updated
- Oct 21, 2016
- License
-
2598 (MN)
Practice Information
- Address
-
300 S BRUCE STMARSHALL, MN, 562581934Browse MN providers · Browse ZIP 56258
- Phone
- 5075379007
- Fax
- 5075372734
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
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.