Individual
MRS. TAMMY J GROSULAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
30 7TH ST W, DICKINSON, ND 58601-4335
(701) 456-4000
(701) 456-4800
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R28920
ND
Other
Enumeration date
02/01/2008
Last updated
09/23/2025
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