Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BLAKE JON GROVE, MS, RD
Active Sole ProprietorMR. BLAKE JON GROVE, MS, RD is a Registered Dietitian healthcare provider located in ORMSBY, Minnesota. NPI 1386365021 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · ORMSBY, MN
Registration Details
- NPI Number
- 1386365021
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 12, 2022 (3.890822569656 yrs)
- Last Updated
- Sep 12, 2022
- License
-
D2308 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
218 BROADWAY AVEORMSBY, MN, 561624004Browse MN providers · Browse ZIP 56162
- Phone
- 5078486112
- Primary Specialty
-
Registered Dietitian
133V00000X
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.