SearchSouth Dakota2084N0400X

Jon Grudem, MD

NPI 1477649531 · on the registry since 2006

Practice

Address
575 N Sioux Point Rd
North Sioux City, SD 57049
Phone
(605) 217-2667
Fax
(605) 217-2900

Registry record

Primary taxonomy
2084N0400X
2084N0400X
Also registered as
2084N0400X
Licence states on file
SD, IA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-01-13

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 South Dakota