Provider Demographics
NPI:1740379593
Name:GROPPOLI, DAVID JOSEPH (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:JOSEPH
Last Name:GROPPOLI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:17 W EXCHANGE ST
Mailing Address - Street 2:SUITE 420
Mailing Address - City:ST PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102-1035
Mailing Address - Country:US
Mailing Address - Phone:651-232-4125
Mailing Address - Fax:651-232-4127
Practice Address - Street 1:17 W EXCHANGE ST
Practice Address - Street 2:SUITE 420
Practice Address - City:ST PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-1035
Practice Address - Country:US
Practice Address - Phone:651-232-4125
Practice Address - Fax:651-232-4127
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN22157207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
A96443Medicare UPIN