Organization
IND SCHOOL DIST NO 561 PENNINGTON & MARSHALL COS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GALEN JOHN CLOW (SUPERINTENDENT)
(218) 378-4133
Entity
Organization
Contact information
Practice address
OSMUND AVENUE, GOODRIDGE, MN 56725
(218) 378-4134
Mailing address
PO BOX 195, OSMUND AVENUE, GOODRIDGE, MN 56725
(218) 378-4134
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/13/2007
Last updated
06/24/2008
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