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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GRASS ROOTS HEALTH FOODS

Active Organization

Medical Foods Supplier · EAGLE RIVER, WI

Registration Details

NPI Number
1679843700
Provider Type
Organization
NPI Issued
Jan 5, 2012 (14.293373768059 yrs)
Last Updated
Jul 21, 2022

Practice Information

Address
3440 STATE HIGHWAY 70 E
EAGLE RIVER, WI, 545219491
Browse WI providers · Browse ZIP 54521
Phone
7154796299
Primary Specialty
Medical Foods Supplier
335G00000X
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.