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Contact Information

IRENE GRUDSKY
10550 WAYZATA BLVD
MINNETONKA, MN55305
 Phone: 763-694-0222
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Contractor

171W00000X
Indicates primary specialty

NPI Profile & details for IRENE GRUDSKY · (Female)

NPI # 1548658982
Status Active
Credentials
Entity Individual
Enumeration date 01/08/2015
Last updated 01/08/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 1075653
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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