Individual
GRAYDEN THOMAS MELICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1325 S CLIFF AVE, SIOUX FALLS, SD 57105-1007
(605) 322-8000
Mailing address
100 N WILDCAT DR, SIOUX FALLS, SD 57110-6313
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
200687
SD
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
SD
Other
Enumeration date
05/04/2026
Last updated
05/13/2026
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