Organization Active NPI

Gryskiewicz Twin Cities Cosmetic Surgery

  • Plastic and Reconstructive Surgery Physician
  • Burnsville, MN
National Provider Identifier
1740462324
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
28402 Issued in MN
Legal business name
GRYSKIEWICZ TWIN CITIES COSMETIC SURGERY
Practice address
303 E Nicollet Blvd
Suite 330
Burnsville, MN 55337-4522
Phone
(952) 435-0177
Fax
(952) 435-6287
NPI assigned
Dec 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Authorized official

Name
Dr. Joseph M Gryskiewicz, M.D.
Title
Owner
Phone
(952) 435-0177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X 28402 MN Primary

Addresses

Primary practice location

303 E Nicollet Blvd
Suite 330
Burnsville, MN 55337-4522

Mailing address

303 E Nicollet Blvd
Suite 330
Burnsville, MN 55337-4522
Phone (952) 435-0177

National Provider Directory

National Provider Directory

Locations

303 E Nicollet Blvd
Ste 330
Burnsville, MN 55337
Phone (952) 209-9273

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1740462324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E NICOLLET BLVD",
            "address_2": "SUITE 330",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374522",
            "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",
            "address_2": "SUITE 330",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374522",
            "telephone_number": "952-435-0177",
            "fax_number": "952-435-6287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRYSKIEWICZ TWIN CITIES COSMETIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "GRYSKIEWICZ",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-435-0177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MN",
            "license": "28402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.