Provider Demographics
NPI:1326697038
Name:SLIWINSKA-FLOE, GRACE
Entity Type:Individual
Prefix:MRS
First Name:GRACE
Middle Name:
Last Name:SLIWINSKA-FLOE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 W 2ND AVE, PO BOX 87
Mailing Address - Street 2:
Mailing Address - City:GRAND MARAIS
Mailing Address - State:MN
Mailing Address - Zip Code:55604
Mailing Address - Country:US
Mailing Address - Phone:218-387-2655
Mailing Address - Fax:
Practice Address - Street 1:403 W 2ND AVE
Practice Address - Street 2:
Practice Address - City:GRAND MARAIS
Practice Address - State:MN
Practice Address - Zip Code:55604
Practice Address - Country:US
Practice Address - Phone:218-387-2655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-05
Last Update Date:2019-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider