Blomberg, Grayson W

Blomberg, Grayson W is an individual health care provider with primary practice located at 15700 37Th Ave N Ste 150 , Plymouth MN 55446-3675. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Blomberg, Grayson W can be contacted via phone (651) 968-5201.

Contact Information

Primary practice address
15700 37Th Ave N Ste 150 Plymouth MN 55446-3675
Phone: (651) 968-5201
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 10560 Minnesota

Profile Details

NPI number 1003057118
LBN Legal business name Blomberg, Grayson W
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2009
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers