Search › Minnesota › 133V00000X
Blake Grove, MS, RD
NPI 1386365021 · on the registry since 2022 · sole proprietor
Practice
- Address
- 218 Broadway Ave
Ormsby, MN 56162 - Phone
- (507) 848-6112
Additional practice sites
- 1417 University Ave, Oxford, MS
Registry record
- Primary taxonomy
- 133V00000X
133V00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-09-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota