Joseph Michael Gryskiewicz, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

28,402 Issued in MN

Practice address

303 E Nicollet Blvd Ste 330
Burnsville, MN 55337-4594

Phone

(952) 435-0177

Fax

(952) 435-6287

NPI assigned

Aug 29, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1346358231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E NICOLLET BLVD STE 330",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374594",
            "telephone_number": "952-435-0177",
            "fax_number": "952-435-6287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E NICOLLET BLVD STE 330",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374594",
            "telephone_number": "952-435-0177",
            "fax_number": "952-435-6287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRYSKIEWICZ",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MN",
            "license": "28,402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kari Ann Grimm, RN
• Robert Henry Grossman, D.D.S., M.S.D.
• Roberta Josephine Grummons, RD, LD
• Eric Holmes Grutzner, D.D.S., M.S.
• Gryskiewicz Twin Cities Cosmetic Surgery
• Karen Lawrence Guba, P.T.
• Rebecc Guenther, RPH
• Ikran Guhad
• Guiding Stars Autism Center
• Kaici Christine Gulbrandson, OTC

• Specialist in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.