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

PHILIP BRUCE IMHOLTE, M.D.

Active

PHILIP BRUCE IMHOLTE, M.D. is a Family Medicine healthcare provider located in GRAND RAPIDS, Minnesota. NPI 1760604623 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · GRAND RAPIDS, MN

Registration Details

NPI Number
1760604623
Provider Type
Individual
Gender
Male
NPI Issued
May 2, 2007 (19.287026179439 yrs)
Last Updated
Oct 21, 2010
License
49754 (MN)

Practice Information

Address
1601 GOLF COURSE ROAD
GRAND RAPIDS, MN, 55744
Browse MN providers · Browse ZIP 55744
Phone
2183265000
Fax
2189991380
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in GRAND RAPIDS, MN

Name Credential NPI
DR. JACK VICTOR CARLISLE MD 1326023060
DR. PATRICIA C. CARLIN-JANSSEN MD 1033195805
DR. CATHY J. CLEARY MD 1811973670
DR. EDWIN A. ANDERSON MD 1083691828
DR. CARY R. COLE-ANTHONY MD 1437136090
DR. SCOTT GERLING MD 1912984550
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.