Individual
DR. KEVIN GRISWOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
13020 RIVERDALE DR NW, COON RAPIDS, MN 55448-1057
(763) 421-5717
Mailing address
3920 EXCELSIOR BLVD UNIT 213, MINNEAPOLIS, MN 55416-5351
(612) 400-3424
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
123397
MN
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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