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DAYNA JOY GROSKREUTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1301 S CLIFF AVE, STE 601, SIOUX FALLS, SD 57105-1032
(605) 322-6930
(605) 322-6931
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-6475

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35230
IA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35230
IA
207RP1001X
Pulmonary Disease Physician
35230
IA
207RP1001X
Pulmonary Disease Physician
Primary
8720
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0727545
IA
01
20159
WELLMARK BCBS
IA
05
6008180
SD
Enumeration date
07/08/2006
Last updated
10/15/2018
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