Individual
DESIREE M. GRUESCHOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2165 PROMISE RD, RAPID CITY, SD 57701-8981
(605) 718-1095
Mailing address
5003 CHARMWOOD DR, RAPID CITY, SD 57701-6534
(605) 431-2667
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R053191
SD
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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