Individual
APRIL B GRUDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9145 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5885
(612) 871-1145
(612) 870-5491
Mailing address
PO BOX 14909, MINNEAPOLIS, MN 55414-0909
(612) 871-1145
(612) 870-5491
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301089386
MI
207R00000X
Internal Medicine Physician
46736
MN
207RG0100X
Gastroenterology Physician
Primary
46736
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044940700
—
MN
Enumeration date
01/19/2006
Last updated
01/02/2019
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