Organization
ITASCA SURGICAL CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL MARGO M.D. (OWNER)
(218) 327-7973
Entity
Organization
Contact information
Practice address
1542 GOLF COURSE RD, SUITE 202, GRAND RAPIDS, MN 55744-9603
(218) 327-7973
(218) 327-3245
Mailing address
3920 13TH AVE E, SUITE 6, HIBBING, MN 55746-3675
(218) 263-7540
(866) 732-0699
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
448327800
—
MN
01
—
97B18IT
BCBS
MN
Enumeration date
05/05/2006
Last updated
07/09/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us