IndividualActive
Irene Grudsky
NPI 1548658982 · Contractor · Minnetonka, MN
Provider details
- NPI number
- 1548658982
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 1075653 (MN)
Specialties & taxonomies
Other Service Providers
Practice location
10550 Wayzata Blvd
Minnetonka, MN 55305
Phone: (763) 694-0222
Approximate (ZIP-level) locationGet directions
Mailing address
6384 Shadyview Lane North
Maple Grove, MN 55311
Registry dates
- Enumerated
- 2015-01-08
- Last updated
- 2015-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.