Individual
JUDY M GRISARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8675 VALLEY CREEK RD, WOODBURY, MN 55125-2337
(651) 241-3000
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
03606305
IL
208600000X
Surgery Physician
27215
WI
208600000X
Surgery Physician
Primary
34598
MN
Other
Enumeration date
05/12/2006
Last updated
10/20/2011
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