NPI 1134413081

Michael Dean Funk, BS

Practitioner Pharmacist Grand Rapids, MN

Practice location

Address: 2140 S Pokegama Ave, Grand Rapids, MN 55744-2507
Phone: (218) 326-6412
Fax: (218) 326-6412

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 114352 (MN)

Other Pharmacist providers in Minnesota →

Registry record

NPI: 1134413081
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jun 2011
Record last updated: 7 Jun 2011

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.