Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN K. GROTHE
Active Sole ProprietorSUSAN K. GROTHE is a Clinic/Center healthcare provider located in LAKE ELMO, Minnesota. NPI 1912765488 is currently active in the NPPES registry. Verify at CMS.
Clinic/Center · LAKE ELMO, MN
Registration Details
- NPI Number
- 1912765488
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 11, 2024 (2.4384781919124 yrs)
- Last Updated
- Mar 11, 2024
- License
-
410794 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11200 STILLWATER BLVD N STE 101LAKE ELMO, MN, 550428625Browse MN providers · Browse ZIP 55042
- Phone
- 9522074899
- Primary Specialty
-
Clinic/Center
261Q00000X
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.