Organization
GLACIAL RIDGE HEALTH SYSTEM
Active
Parent organization
GLACIAL RIDGE HEALTH SYSTEM
Other names
Glacial Ridge Hospital - Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
GLACIAL RIDGE HEALTH SYSTEM
Authorized official
KIRK STENSRUD (CEO)
(320) 634-4521
Entity
Organization
Contact information
Practice address
10 4TH AVE SE, GLENWOOD, MN 56334-1820
(320) 634-5157
Mailing address
6501 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3248
(952) 653-2525
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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