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Contact Information

BETHANY J GROMMESH, MD
6500 EXCELSIOR BLVD
PARK NICOLLET
SAINT LOUIS PARK, MN55426
 Phone: 952-993-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BETHANY J GROMMESH · (Female)

NPI Number 1225090905
Status Active
Credentials MD
Entity Individual
Enumeration date 04/06/2006
Last updated 07/27/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 46356
Hospital affiliation(s)
  • HENNEPIN COUNTY MEDICAL CENTER - (Acute Care)
    701 PARK AVENUE
    MINNEAPOLIS, MN 55415
  • NORTH MEMORIAL MEDICAL CENTER - (Acute Care)
    3300 OAKDALE NORTH
    ROBBINSDALE, MN 55422
  • PARK NICOLLET METHODIST HOSPITAL - (Acute Care)
    6500 EXCELSIOR BLVD
    SAINT LOUIS PARK, MN 55426
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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