Tammy J Grosulak CRNA

NPI 1083892095 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1083892095
Gender Female
Enumeration Date 02/01/2008
Last Updated 02/01/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
30 7TH ST W
DICKINSON ND, 58601-4335, US
Phone (701) 456-4000
Fax (701) 456-4800
Business Location
30 7TH ST W
DICKINSON ND, 58601-4335, US
Phone (701) 456-4000
Fax (701) 456-4800
Toxanomy
Taxonomy Code 367500000X
License State North Dakota
License Number R28920
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According to our database, Mrs. Tammy J Grosulak CRNA NPI is 1083892095, taxonomy code is 367500000X and license number is R28920, license state is located at North Dakota. Tammy J Grosulak CRNA physically located at 30 7th St W, Dickinson ND, 58601-4335. NPI Number Tammy J Grosulak CRNA has the Individual type.

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1083892095 NPI number is provided on an as is basis without warranty of any kind. 1083892095 is maintained by the National Plan & Provider Enumeration System. The contents of Tammy J Grosulak CRNA are for informational purposes only.