Grode, Richard T

Grode, Richard T is an individual health care provider with primary practice located at 270 Main St N Ste 300 , Stillwater MN 55082-6788. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Grode, Richard T can be contacted via phone (651) 342-1039.

Contact Information

Primary practice address
270 Main St N Ste 300 Stillwater MN 55082-6788
Phone: (651) 342-1039
Fax: (651) 342-1428
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1060049 Minnesota

Profile Details

NPI number 1609837822
LBN Legal business name Grode, Richard T
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated May 3rd, 2024 - about 7 months 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

Identifiers

StateTypeNumberIssuer
All States NPI 1609837822 NPPES
Minnesota MEDICAID 749465300

Popular Providers