Individual
GARRISON GLENN RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8100 NORTHLAND DR, BLOOMINGTON, MN 55431-4800
(952) 831-8742
(952) 831-1626
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
LL83309
SC
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
76922
MN
Other
Enumeration date
06/29/2020
Last updated
07/19/2024
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