Individual
JOY S. GRONSTEDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
700 S HANCOCK AVE, SEDALIA, MO 65301-4638
(660) 827-4664
(660) 827-4591
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(660) 826-5960
(660) 826-4852
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R8F93
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242288140
—
MO
Enumeration date
06/16/2005
Last updated
05/20/2016
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