| Essentia Health Grand Rapids Clinic | |
|
1542 Golf Course Rd Ste 204 Grand Rapids MN 55744-3555 | |
| (218) 999-7000 | |
| Not Available |
| Full Name | Essentia Health Grand Rapids Clinic |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1542 Golf Course Rd Ste 204, Grand Rapids, Minnesota |
| Authorized Official Name and Position | Kevin Boren (VP OF FINANCE) |
| Authorized Official Contact | 2187861009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Essentia Health Grand Rapids Clinic 1542 Golf Course Rd Ste 204 Grand Rapids MN 55744-3555 Ph: (218) 999-7000 | Essentia Health Grand Rapids Clinic 1542 Golf Course Rd Ste 204 Grand Rapids MN 55744-3555 Ph: (218) 999-7000 |
| NPI Number | 1184132664 |
|---|---|
| Provider Enumeration Date | 01/18/2018 |
| Last Update Date | 02/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184132664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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