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Individual

DR. ROYCE L. GRIMSRUD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
121 E MAPLE ST, SISSETON, SD 57262-1412
(605) 698-4112
(605) 698-3160
Mailing address
PO BOX 149, SISSETON, SD 57262-0149
(605) 698-4112
(605) 698-3160

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
437
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9201690
SD
Enumeration date
02/10/2006
Last updated
01/29/2008
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