Search › Idaho › 111N00000X
Madison Grzeszkowiak, D.C
NPI 1467877811 · on the registry since 2014 · sole proprietor
Practice
- Address
- 414 S Jefferson St
Moscow, ID 83843 - Phone
- (208) 596-1105
- Fax
- (208) 883-6559
- Organisation at this address
- The Uma Center, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-06-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho