Individual
JAMES DAVID ROSTVOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1043 E HIGHWAY 169, GRAND RAPIDS, MN 55744
(218) 326-2560
Mailing address
PO BOX 339, GRAND RAPIDS, MN 55744-0330
(218) 326-2560
(218) 326-8256
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
09461
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
872720100
—
MN
Enumeration date
12/04/2006
Last updated
09/15/2009
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