IndividualActive
Grayson Blomberg, PA-C
NPI 1003057118 · Surgical Physician Assistant · Plymouth, MN
Provider details
- NPI number
- 1003057118
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 10560 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
15700 37th Ave N Ste 150
Plymouth, MN 55446-3675
Phone: (651) 968-5201
Approximate (ZIP-level) locationGet directions
Mailing address
710 Commerce Dr Ste 200
Woodbury, MN 55125-4925
Registry dates
- Enumerated
- 2009-03-19
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.