GRAYSON W BLOMBERG

PLYMOUTH, MN
NPI1003057118
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: MN  10560)
Enumeration Date2009-03-19
Last Update Date2022-07-21
Business Address
-- GRAYSON W BLOMBERG PA-C
15700 37TH AVE N STE 150
PLYMOUTH, MN 55446-3675
Phone number: 651-968-5201
Mailing Address
-- GRAYSON W BLOMBERG PA-C
710 COMMERCE DR STE 200
WOODBURY, MN 55125-4925
Phone number: 651-968-5201
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