Fond Du Lac Reservation Business Committee

NPI #1326053166 in Cloquet, Minnesota

Provider Information

NPI Number
1326053166
Entity Type
Organization
Organization Name
Fond Du Lac Reservation Business Committee
Primary Specialty
Clinic/Center
Enumeration Date
Jul 30, 2006
Last Updated
Feb 2, 2016

Practice Location

Address
927 TRETTLE LANE
Address 2
FOND DU LAC HUMAN SERVICES DIVISION
ZIP Code
55720
Phone
(218) 879-1227

Authorized Official

Name
MS. MARILYN GROVER
Title
ASSOCIATE DIRECTOR
Phone
(218) 879-1227

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Clinic/Center - Rehabilitation, Substance Use DisorderRehabilitation, Substance Use Disorder
Clinic/Center

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