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Stacie Gross, RDH
NPI 1700116316 · on the registry since 2010
Practice
- Address
- 501 West College Drive
Brainerd, MN 56401 - Phone
- (218) 855-8272
- Fax
- (218) 855-8270
- Organisation at this address
- Minnesota State Colleges And Universities
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 124Q00000X
124Q00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-01-04
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