MEDICARE: RHONDA LORRAINE GROEBNER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	R126205-4	MN

General Provider Information

NPI Number	:	1164482527
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RHONDA LORRAINE GROEBNER MD

Provider Business Mailing Address
First Line	:	10664 ALICIA CIR
Second Line	:
City	:	INVER GROVE HEIGHTS
State	:	MN
Zip	:	55077-5470
Country	:	US
Telephone Number	:	651-341-4075
Fax Number	:

Provider Business Practice Location Address
First Line	:	5450 LYNDALE AVE S
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55419-1718
Country	:	US
Telephone Number	:	888-290-1209
Fax Number	:	833-973-3528

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2006
Last Update Date	:	07/23/2025

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