NPI 1700064714
Fond Du Lac Reservation Business Committee
Practice location
- Address
- 2020 Bloomington Ave, Minneapolis, MN 55404-3073
- Phone
- (612) 871-1989
- Fax
- (612) 222-3463
- Mailing address
- 927 Trettel Lane Fond Du Lac Human Services Division, Cloquet, MN 55720
Authorised official
- Name
- Marilyn Grover
- Title
- Associate Director
- Phone
- (218) 878-2101
Registered specialties
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
Registry record
- NPI
- 1700064714
- Entity type
- Organization
- NPI issued
- 1 Feb 2008
- Record last updated
- 12 Oct 2017
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.