Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Justin Gronewold

Individual provider Athletic Trainer · NPI 1487415287

Justin Gronewold is an Athletic Trainer in Maplewood, Minnesota. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

1804 Jackson St
Maplewood, MN 55117-2325
Phone: (612) 655-3410
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1487415287
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 18, 2024
Last updated in NPPESJanuary 18, 2024
Certification dateJanuary 18, 2024
Mailing address1804 Jackson St, Maplewood, MN 55117-2325

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