Individual
ANNETTE PALMGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1425 S COLUMBIA RD, GRAND FORKS, ND 58201-4039
(701) 746-8374
(701) 780-0885
Mailing address
1425 S COLUMBIA RD, GRAND FORKS, ND 58201-4039
(701) 746-8374
(701) 780-0885
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2034
MN
225100000X
Physical Therapist
Primary
352
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55018
—
ND
01
—
BCBSMN
201G8PA
MN
01
—
MEDICA
6405515
MN
Enumeration date
01/03/2007
Last updated
07/08/2007
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