Organization
INNOVIS HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY C GLASNER MD (MD)
(701) 364-4554
Entity
Organization
Contact information
Practice address
4110 51ST AVE S, FARGO, ND 58104-7776
(952) 653-2565
(952) 653-2540
Mailing address
6501 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3248
(952) 653-2565
(952) 653-2540
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
13699
ND
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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