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ITASCA SURGICAL CLINIC, PA
NPI 1245288984
Specialist in Grand Rapids, MN

Active since May 05, 2006
1542 GOLF COURSE RD, SUITE 202, GRAND RAPIDS, MN 55744(218) 327-7973(218) 327-3245 Get Directions Write a Review

NPPES record last updated: July 9, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Itasca Surgical Clinic, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ITASCA SURGICAL CLINIC, PA (NPI 1245288984) is a healthcare organization registered as a specialist in Grand Rapids, Minnesota and active in the NPI registry since May 2006. The organization lists Daniel Margo, Owner, as its authorized official.

NPPES Registry Identity

NPI1245288984
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameITASCA SURGICAL CLINIC, PA
Location Address1542 GOLF COURSE RD, SUITE 202Grand Rapids, MN 55744-9603
Mailing Address3920 13th Ave E, Suite 6Hibbing, MN 55746-3675 · (218) 263-7540 · Fax (866) 732-0699
Phone(218) 327-7973
Fax(218) 327-3245
Organization SubpartNo
Authorized OfficialDaniel MargoOwner · (218) 327-7973
Enumeration DateMay 5, 2006
Last NPPES UpdateJuly 9, 2009
✔ NPI 1245288984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1542 GOLF COURSE RD, Grand Rapids, MN 55744
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Other Identifiers 4

Other97B18ITMN · Bcbs
Medicaid448327800MN
Medicare PIN020051802MN
Medicare ID-Type UnspecifiedC04216MN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN A MORAN M.D.
Ophthalmology
1542 GOLF COURSE RD, SUITE 201
GRAND RAPIDS, MN 55744
Itasca County (218) 326-3433
RADTKE PHYSICAL THERAPY LIMITED PARTNERSHIP
Clinic/Center (Physical Therapy)
1542 GOLF COURSE RD, SUITE 104
GRAND RAPIDS, MN 55744
Itasca County (218) 326-3300
JOHN L BONNER EYE CLINIC LTD
Ophthalmology
1542 GOLF COURSE RD, SUITE 201
GRAND RAPIDS, MN 55744
Itasca County (218) 326-3433
LISA K BRINK PT
Physical Therapist
1542 GOLF COURSE RD, SUITE 4
GRAND RAPIDS, MN 55744
Itasca County (218) 326-3300
DR. LEROY TAYLOR KINCANNON III O.D.
Optometrist
1542 GOLF COURSE RD, SUITE 201
GRAND RAPIDS, MN 55744
Itasca County (218) 326-3433
BARRY J PEDERSON DPT CSCS
Physical Therapist
1542 GOLF COURSE RD, SUITE 104
GRAND RAPIDS, MN 55744
Itasca County (218) 326-3300
SUSAN L ANDERSON RNFA
Registered Nurse
1542 GOLF COURSE RD, SUITE 202
GRAND RAPIDS, MN 55744
Itasca County (218) 327-7973
LANEA D JOHNSON OTR/L
Occupational Therapist
1542 GOLF COURSE RD, SUITE 104
GRAND RAPIDS, MN 55744
Itasca County (218) 326-3300

Frequently Asked Questions

What is ITASCA SURGICAL CLINIC, PA's NPI number?

The NPI number assigned to this healthcare provider is 1245288984, enumerated as an "organization" on May 05, 2006.

Where is the provider located?

The provider is located at 1542 GOLF COURSE RD SUITE 202 GRAND RAPIDS, MN 55744 and the phone number is (218) 327-7973.

What is the provider's specialty?

Specialist with taxonomy code 174400000X.

What insurance does ITASCA SURGICAL CLINIC, PA accept?

The provider might be accepting Accepts: Medica, Blue Cross Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to verify.