| Byron Rowell Pa | |
|
510 Nw 2nd Ave Grand Rapids MN 55744-2627 | |
| (218) 326-1266 | |
| (218) 326-9502 |
| Full Name | Byron Rowell Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 510 Nw 2nd Ave, Grand Rapids, Minnesota |
| Authorized Official Name and Position | Byron G Rowell (OWNER/DENTIST) |
| Authorized Official Contact | 2183261266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Byron Rowell Pa 510 Nw 2nd Ave Grand Rapids MN 55744-2627 Ph: (218) 326-1266 | Byron Rowell Pa 510 Nw 2nd Ave Grand Rapids MN 55744-2627 Ph: (218) 326-1266 |
| NPI Number | 1275797763 |
|---|---|
| Provider Enumeration Date | 07/14/2008 |
| Last Update Date | 07/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275797763 | NPI | - | NPPES |
| 632317100 | Other | MN | MN CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 8282 (Minnesota) | Primary |
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