JUSTIN GRONEWOLD
NPI 1487415287
Student in an Organized Health Care Education/Training Program in Maplewood, MN

Q: What is Justin Gronewold's NPI number?

The NPI number for Justin Gronewold is 1487415287. It was assigned to this individual provider in the NPPES registry on January 18, 2024.

Q: What is Justin Gronewold's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Justin Gronewold was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 18, 2024

1804 JACKSON ST, MAPLEWOOD, MN 55117(612) 655-3410 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Justin Gronewold NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN GRONEWOLD (NPI 1487415287) is an individual student in an organized health care education/training program in Maplewood, Minnesota and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1487415287

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJUSTIN GRONEWOLD

Location Address1804 JACKSON STMaplewood, MN 55117-2325

Mailing Address1804 Jackson StMaplewood, MN 55117-2325 · (612) 655-3410

Phone(612) 655-3410

Sole ProprietorNo

Enumeration DateJanuary 18, 2024

NPPES CertifiedJanuary 18, 2024

✔ NPI 1487415287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X

1804 JACKSON ST, Maplewood, MN 55117

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Gronewold's NPI number?

The NPI number for Justin Gronewold is 1487415287. It was assigned to this individual provider in the NPPES registry on January 18, 2024.

Where is Justin Gronewold located?

Justin Gronewold practices at 1804 Jackson St, Maplewood, MN 55117. The listed phone number is (612) 655-3410.

What is Justin Gronewold's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Justin Gronewold was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.