Individual
ELIZABETH ANN GRACE-CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4400 W 69TH ST, STE 1500, SIOUX FALLS, SD 57108-8171
(605) 322-5700
(605) 322-5704
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-6475
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
7152
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801080072
ARAZ/AMERICAS PPO
SD
01
—
255534
MIDLANDS CHOICE
—
01
—
35M46GR
CC SYSTEMS/BLUE PLUS
—
01
—
4992328
BLUE CROSS BLUE SHIELD
SD
01
—
65691
SANFORD HEALTH PLAN
SD
05
—
7101980
—
SD
01
—
7152
DAKOTACARE
—
Enumeration date
08/30/2007
Last updated
10/11/2018
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