JON M GRUDEM

CNOS PC

Dr JON M GRUDEM is a male medical professional, specializing in Neurology. He graduated in 2004 from Oregon Health Sciences University School Of Medicine.

Contact

CNOS PC

575 N SIOUX POINT RD
DAKOTA DUNES
SD
570495312

Tel: 6052172667

JON M GRUDEM Information

Npi 1477649531
Pac Id 8921150087
Professional Enrollment Id I20090721000248
Last Name GRUDEM
First Name JON
Middle Name M
Suffix
Gender M
Credential
Medical School Name OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2004
Primary Specialty NEUROLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name CNOS PC
Group Practice Pac Id 4284548942
Number Of Group Practice Members 60
Line 1 Street Address 575 N SIOUX POINT RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City DAKOTA DUNES
State SD
Zip Code 570495312
Phone Number 6052172667
Hospital Affiliation Ccn 1 160153
Hospital Affiliation Lbn 1 MERCY MEDICAL CENTER-SIOUX CITY
Hospital Affiliation Ccn 2 160146
Hospital Affiliation Lbn 2 ST LUKES REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 3 161346
Hospital Affiliation Lbn 3 SIOUX CENTER HEALTH
Hospital Affiliation Ccn 4 161360
Hospital Affiliation Lbn 4 ORANGE CITY AREA HEALTH SYSTEM
Hospital Affiliation Ccn 5 161362
Hospital Affiliation Lbn 5 CHEROKEE REGIONAL MEDICAL CENTER
Professional Accepts Medicare Assignment Y

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