Individual
KIM D GRYMALOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1680 DIAGONAL RD, WORTHINGTON, MN 56187-1008
(507) 372-3800
(507) 372-3806
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9556
(605) 328-9501
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41903
MN
Other
Enumeration date
06/30/2005
Last updated
10/22/2007
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