Whalio Doctors

NPI 1396905212

Raisa Gringauz, MD

Practitioner Physical Medicine & Rehabilitation Physician St Louis Park, MN

Practice location

Address
4330 Cedar Lake Rd S, St Louis Park, MN 55416-3700
Phone
(952) 381-3434
Fax
(952) 377-1430
Mailing address
4725 Minnesota Ln N, Plymouth, MN 55446-2181

Registered specialties

Physical Medicine & Rehabilitation Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 44183 (MN)

Registry record

NPI
1396905212
Entity type
Individual
Sex (as registered)
Female
NPI issued
13 Jun 2008
Record last updated
13 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.