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Contact Information

JUDY M GRISARD, MD
8675 VALLEY CREEK RD
WOODBURY, MN55125-2337
 Phone: 651-241-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JUDY M GRISARD · (Female)

NPI # 1457301905
Status Active
Credentials MD
Entity Individual
Enumeration date 05/12/2006
Last updated 10/20/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 03606305
  • MN License # 34598
  • WI License # 27215
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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