Bethany Ann Cook Grothe
Dermatologist
3555 Willow Lake Blvd Ste 240
Vadnais Heights
, Minnesota 55110-4464
Bethany Ann Cook Grothe
Dermatologist
3555 Willow Lake Blvd Ste 240
Vadnais Heights
, Minnesota 55110-4464
(651) 770-0110
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Bethany Ann Cook Grothe
- 3555 Willow Lake Blvd Ste 240
- Vadnais Heights, MN
- Zip : 55110-4464
- Phone : (651) 770-0110
Second Address
- Bethany Ann Cook Grothe
- 3555 Willow Lake Blvd Ste 240
- Vadnais Heights, MN
- Zip : 55110-4464
- Phone : (651) 770-0110
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 55589 | MN |
National Provider Identifier
| NPI | 1033435276 |
|---|---|
| Provider Name | Bethany Ann Cook Grothe |
| First Address | Vadnais Heights, MN 55110-4464 |
| Second Address | Vadnais Heights, MN 55110-4464 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/04/2010 |
| Last Update Date | 01/02/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.