Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ITASCA SURGICAL CLINIC, PA
Active OrganizationITASCA SURGICAL CLINIC, PA is a Specialist organization located in GRAND RAPIDS, Minnesota. NPI 1245288984 is currently active in the NPPES registry. Verify at CMS.
Specialist · GRAND RAPIDS, MN
Registration Details
- NPI Number
- 1245288984
- Provider Type
- Organization
- NPI Issued
- May 5, 2006 (20.310163861898 yrs)
- Last Updated
- Jul 9, 2009
Practice Information
- Address
-
1542 GOLF COURSE RDSUITE 202GRAND RAPIDS, MN, 557449603Browse MN providers · Browse ZIP 55744
- Phone
- 2183277973
- Fax
- 2183273245
- Primary Specialty
-
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.