Organization · Type 2 NPI

Itasca Surgical Clinic, PA

Specialist · Grand Rapids, MN

NPI number 1245288984 Active

Practice location

1542 Golf Course Rd, Suite 202
Grand Rapids, MN 55744-9603

Call (218) 327-7973 Map

Fax (218) 327-3245

Mailing address

3920 13th Ave E, Suite 6
Hibbing, MN 55746-3675

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

18 other providers at this address

About NPI 1245288984

Itasca Surgical Clinic, PA's National Provider Identifier is 1245288984, issued on May 5, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Grand Rapids, MN. The record was last updated on Jul 9, 2009.