MEDICARE: DR. JUSTIN CURTIS GRONHOLZ D.C.

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	111N00000X	Chiropractor	5481	MN

General Provider Information

NPI Number	:	1245520659
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUSTIN CURTIS GRONHOLZ D.C.

Provider Business Mailing Address
First Line	:	15574 EDGEWOOD DR STE 102
Second Line	:
City	:	BAXTER
State	:	MN
Zip	:	56401-6956
Country	:	US
Telephone Number	:	218-829-2665
Fax Number	:	218-829-4855

Provider Business Practice Location Address
First Line	:	15574 EDGEWOOD DR STE 102
Second Line	:
City	:	BAXTER
State	:	MN
Zip	:	56401-6956
Country	:	US
Telephone Number	:	218-829-2665
Fax Number	:	218-829-4855

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

Provider Enumeration Date	:	04/19/2011
Last Update Date	:	06/17/2025

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Directions to “ DR. JUSTIN CURTIS GRONHOLZ D.C.” Practice Location

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