MS. ANNE MARIE GROZDANICH


Address: 1542 Golf Course Rd, Suite 203, Grand Rapids, MN 55744-3555
Phone: 2189997000

MS. ANNE MARIE GROZDANICH (NPI# 1245538750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245538750
Entity Type Individual
Full Name MS. ANNE MARIE GROZDANICH
Other Name MS. ANNE MARIE SIEKKINEN
Credential FNP
Practice Address 1542 Golf Course Rd
Suite 203
Grand Rapids
MN 55744-3555
Practice Telephone 2189997000
Practice Fax Number 2189997099
Mailing Telephone 2189997000
Mailing Fax Number 2189997099
Enumeration Date 2011-03-08
Last Update Date 2011-03-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
R161684-6 MN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1542 GOLF COURSE RD
SUITE 203
City GRAND RAPIDS
State MN
Zip Code 55744-3555

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700879756 John A Moran Ophthalmology 1542 Golf Course Rd, Suite 201, Grand Rapids, MN 55744 2005-08-24
1326683988 Matthew Davis Borowski Specialist/Technologist 1542 Golf Course Rd, Grand Rapids, MN 55744-3555 2019-11-07
1538672548 Kjerstin G Durie Physician Assistant 1542 Golf Course Rd, Grand Rapids, MN 55744-3555 2017-11-13
1104217785 Sarah Jean Levar Occupational Therapist 1542 Golf Course Rd, Suite 104, Grand Rapids, MN 55744-3555 2015-02-18
1871926691 Andrew Michael Mccann Physical Therapist 1542 Golf Course Rd, Suite 104, Grand Rapids, MN 55744-3555 2013-08-15
1093152423 Deer River Healthcare Center, Inc. Clinic/Center 1542 Golf Course Rd, Grand Rapids, MN 55744-3555 2013-05-24
1174854350 Radtke Physical Therapy Limited Partnership Durable Medical Equipment & Medical Supplies 1542 Golf Course Rd, Suite 104, Grand Rapids, MN 55744-3555 2010-01-27
1659509362 Lanea D Johnson Occupational Therapist 1542 Golf Course Rd, Suite 104, Grand Rapids, MN 55744-3555 2009-07-01
1376734418 Susan L Anderson Registered Nurse 1542 Golf Course Rd, Suite 202, Grand Rapids, MN 55744-3555 2007-08-05
1659578417 Barry J Pederson Physical Therapist 1542 Golf Course Rd, Suite 104, Grand Rapids, MN 55744-3555 2007-06-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1912311333 Doctor V LLC Psychologist 2002 Cromell Drive, Hope House of Itasca County, Laprairie, MN 55744 2014-06-13
1104244987 Linda Reinen-thompson Contractor 34307 Hwy. 38, Grand Rapids, MN 55744 2014-03-31
1275883266 Lana Rae Jacobson Registered Nurse 1401 Nw 9th Street, Grand Rapids, MN 55744 2012-09-17
1518252048 David Allen Griggs Pharmacist 2140 S.pokegama Ave., T-0904, Target, Grand Rapids, MN 55744 2011-06-13
1447575063 Kelly Ann Shermoen Pharmacist 18 Se 10th Street, Grand Rapids, MN 55744 2010-04-07
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City GRAND RAPIDS
Zip Code 55744

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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