Individual
JOANNA GRUDZIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-4220
(801) 581-2121
Mailing address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
11778544-1205
UT
Other
Enumeration date
06/12/2012
Last updated
11/05/2024
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