Whalio Doctors

NPI 1144710658

Innovis Health, LLC

Organisation Non-Pharmacy Dispensing Site Fargo, ND

Practice location

Address
4110 51st Ave S, Fargo, ND 58104-7776
Phone
(952) 653-2565
Fax
(952) 653-2540
Mailing address
6501 City West Pkwy, Eden Prairie, MN 55344-3248

Authorised official

Name
Gregory C Glasner
Title
MD
Phone
(701) 364-4554

Registered specialties

Non-Pharmacy Dispensing Site Primary
Suppliers Taxonomy 332900000X Licence 13699 (ND)

Registry record

NPI
1144710658
Entity type
Organization
NPI issued
10 May 2018
Record last updated
10 May 2018

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.