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David William Grewe, PA-C

Physician Assistant in Bloomington, MN. Individual provider (NPI-1).

NPI number1124757679
StatusActive
Last updated in NPPESOct 21, 2022

Details

NPI
1124757679
Entity type
Individual (NPI-1)
Name
David William Grewe
Credential
PA-C
Sex
Male
Sole proprietor
No
Enumeration date
Jun 9, 2022
Certification date
Oct 21, 2022
Last updated
Oct 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant14202MNYes

Practice location

4300 Marketpointe Dr Ste 100
Bloomington, MN 55435-5435

Phone 952-835-9880 · Fax 952-857-1554

Mailing address

4300 Marketpointe Dr Ste 100
Bloomington, MN 55435-5435

Phone 952-835-9880 · Fax 952-857-1554

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