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-- JANNICA L GROOM -- MD

Individual Provider (NPI-1) Active

Internal Medicine, Pulmonary Disease

Provider Information

NPI Number
1831162395
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
401 PHALEN BOULEVARD MAIL STOP 41, ST PAUL, MN, 551015302
Phone
(651) 254-7670
Fax
(651) 254-7676

Specialties & Taxonomies

Internal Medicine, Pulmonary Disease Primary License: MN #41292

All Addresses

MAILING

8100 34TH AVE S 21110Q

BLOOMINGTON, MN, 554251672

(952) 883-5790

LOCATION

401 PHALEN BOULEVARD MAIL STOP 41

ST PAUL, MN, 551015302

(651) 254-7670