| NPI | 1811240336 |
|---|---|
| Other Name | GLACIAL RIDGE HOSPITAL - CLINIC |
| Entity Type | Organization |
| Authorized Contact | KIRK STENSRUD CEO 320-634-4521 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2012-10-22 |