JANNICA L GROOM

ST PAUL, MN
NPI1831162395
Entity TypeIndividual
GenderFemale
Sole Proprietor ?
Primary Taxonomy207RP1001X Internal Medicine Pulmonary Disease
(Licence: MN  41292)
Enumeration Date2006-02-07
Last Update Date2007-07-08
Business Address
JANNICA L GROOM MD
401 PHALEN BOULEVARD MAIL STOP 41
ST PAUL, MN 55101-5302
Phone number: 651-254-7670
Mailing Address
JANNICA L GROOM MD
8100 34TH AVE S 21110Q
BLOOMINGTON, MN 55425-1672
Phone number: 952-883-5790