NPI 1023326980
Grand Itasca Clinic and Hospital
Practice location
- Address
- 1601 Golf Course Rd, Grand Rapids, MN 55744-8648
- Phone
- (218) 326-7503
- Mailing address
- 6501 City West Pkwy, Eden Prairie, MN 55344-3248
Authorised official
- Name
- Melissa Walters
- Title
- Director of Pharmacy
- Phone
- (952) 653-2565
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1023326980
- Entity type
- Organization
- NPI issued
- 14 Sep 2010
- Record last updated
- 14 Sep 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.