Individual
JACOB EARL GRUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 7TH ST W, PARK RAPIDS, MN 56470-1872
(218) 699-3121
Mailing address
2406 CALIHAN AVE NE, BEMIDJI, MN 56601-2336
(218) 556-5446
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4063
MN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/20/2026
Last updated
06/05/2026
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