IndividualActive
Derek Groeneweg, PA
NPI 1255888772 · Surgical Physician Assistant · Marshall, MN
Provider details
- NPI number
- 1255888772
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 2598 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
300 S Bruce St
Marshall, MN 56258-1934
Phone: (507) 537-9007
Fax: (507) 537-2734
Approximate (ZIP-level) locationGet directions
Mailing address
300 S Bruce St
Marshall, MN 56258-1934
Registry dates
- Enumerated
- 2016-09-01
- Last updated
- 2016-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.