Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 60922 | MN |
N | 111NI0900X | Internist | 60922 | MN |
Y | 207RP1001X | Pulmonary Disease | 60922 | MN |
NPI | 1023497112 |
---|---|
Provider Name | Dr. Gregory Robert Stroh |
First Address | Duluth, MN 55805-1951 |
Second Address | Duluth, MN 55805-1951 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2015 |
Last Update Date | 23/07/2021 |