Jon Mark Grudem in North Sioux City - Neurology

Jon Mark Grudem - NPI 1477649531

Jon Mark Grudem is a Neurology in North Sioux City, South Dakota. Jon Mark Grudem practices all healthcare services and medical treatments related to Neurology. The NPI Number for Jon Mark Grudem is 1477649531. The last update date is 2011-01-13.

Jon Mark Grudem's current location address is 575 N Sioux Point Rd, North Sioux City, South Dakota. You can contact this provider via phone number 6052172667 and fax number 6052172900. The mailing address for Jon Mark Grudem is 575 N Sioux Point Rd, North Sioux City, South Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Jon Mark Grudem
Address 575 N Sioux Point Rd, North Sioux City, South Dakota
Phone Number 6052172667
Fax Number 6052172900
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1477649531
Provider Enumeration Date 2006-10-05
Last Updated Date 2011-01-13

Provider Mailing Address Detail

Address 575 N Sioux Point Rd
City North Sioux City
State South Dakota (SD)
Post Code 570495312
Phone Number 6052172667
Fax Number 6052172900

Provider's Primary Taxonomy Detail

Speciality Neurology
Taxonomy 2084N0400X
Licence No 7354
Definition:
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

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FAQs about Jon Mark Grudem

What is the Jon Mark Grudem's 1477649531?

The Jon Mark Grudem's NPI (National Provider Identifier) Number is 1477649531. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Jon Mark Grudem?

The Jon Mark Grudem is situated at 575 N Sioux Point Rd, in the city of North Sioux City, state of SD, with the zip code 570495312.

What is the Jon Mark Grudem's area of specialization and corresponding taxonomy classification?

The Jon Mark Grudem's specialty field is Neurology, and it falls under the taxonomy code 2084N0400X, which categorizes healthcare providers based on their specialties.

On what date did the Jon Mark Grudem receive the assignment of its 1477649531 from the Centers for Medicare & Medicaid Services?

The Jon Mark Grudem was issued its 1477649531 by the Centers for Medicare & Medicaid Services on 2006-10-05.

When was the information regarding Jon Mark Grudem most recently updated?

The details pertaining to the Jon Mark Grudem, including its address, specialty, and other relevant information, were last refreshed on 2011-01-13.

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