NPI 1730863937

Carol Grettum, CPCPED

Practitioner Prosthetist Fargo, ND

Practice location

Address: Fargo VA Healthcare System 2101 Elm Street N, Fargo, ND 58102
Phone: (701) 239-3700
Fax: (701) 239-3721
Mailing address: 360 32nd Ave W APT 602, West Fargo, ND 58078-2947

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Pedorthist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X

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Registry record

NPI: 1730863937
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jun 2023
Record last updated: 9 Jun 2023

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.