Individual
DR. JON MARK GRUDEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
575 N SIOUX POINT RD, NORTH SIOUX CITY, SD 57049-5312
(605) 217-2667
(605) 217-2900
Mailing address
575 N SIOUX POINT RD, NORTH SIOUX CITY, SD 57049-5312
(605) 217-2667
(605) 217-2900
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
38576
IA
2084N0400X
Neurology Physician
Primary
7354
SD
Other
Enumeration date
10/05/2006
Last updated
01/13/2011
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