NPI 1629256763
Fond Du Lac Reservation Business Committee
Practice location
- Address
- 221 W 4th St, Duluth, MN 55806-2719
- Phone
- (218) 279-4142
- Fax
- (218) 279-4077
- Mailing address
- Fond Du Lac Human Serv Division 927 Trettel Lane, Cloquet, MN 55720
Authorised official
- Name
- Marilyn Grover
- Title
- Associate Director
- Phone
- (218) 879-1227
Registered specialties
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
Registry record
- NPI
- 1629256763
- Entity type
- Organization
- NPI issued
- 31 Jan 2008
- Record last updated
- 21 Jul 2022
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.