NPI

Stacy Ann Grossman

NPI 1538772652

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
DNP
Type
Individual
Enumeration date
2020-08-28
Last updated
2024-04-11

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Specialties

Licenses

License MN
7591

Location

Practice location
12593 Lower Sylvan Rd SW
City
Pillager MN
Postal code
56473-2267
Phone
(218) 831-8152

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Pillager, MN. 27 records in the public file.

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