Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JON MARK GRUDEM, MD
ActiveDR. JON MARK GRUDEM, MD is a Neurology healthcare provider located in NORTH SIOUX CITY, South Dakota. NPI 1477649531 is currently active in the NPPES registry. Verify at CMS.
Neurology · NORTH SIOUX CITY, SD
Registration Details
- NPI Number
- 1477649531
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 5, 2006 (19.873843335407 yrs)
- Last Updated
- Jan 13, 2011
- Licenses
-
7354 (SD)38576 (IA)
Practice Information
- Address
-
575 N SIOUX POINT RDNORTH SIOUX CITY, SD, 570495312Browse SD providers · Browse ZIP 57049
- Phone
- 6052172667
- Fax
- 6052172900
- Primary Specialty
-
Neurology
2084N0400X
- Additional Specialty
- Neurology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.