| Mcdonald-galstad, Ltd | |
|
1421 Central Ave Nw E Grand Forks MN 56721-1617 | |
| (218) 773-3010 | |
| (218) 773-9780 |
| Full Name | Mcdonald-galstad, Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1421 Central Ave Nw, E Grand Forks, Minnesota |
| Authorized Official Name and Position | Janie Marie Gunderson (OFFICE MANAGER) |
| Authorized Official Contact | 2187733010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcdonald-galstad, Ltd 1421 Central Ave Nw E Grand Forks MN 56721-1617 Ph: (218) 773-3010 | Mcdonald-galstad, Ltd 1421 Central Ave Nw E Grand Forks MN 56721-1617 Ph: (218) 773-3010 |
| NPI Number | 1295913622 |
|---|---|
| Provider Enumeration Date | 02/07/2008 |
| Last Update Date | 02/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295913622 | NPI | - | NPPES |
| 040679 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |