Dr STACY K HOLL is a female medical professional, specializing in Internal Medicine. She graduated in 2011.
GRAND ITASCA CLINIC AND HOSPITAL
1601 GOLF COURSE RD
GRAND RAPIDS
MN
557448648
Tel: 2183263401
| Npi | 1417241571 |
| Pac Id | 4789827304 |
| Professional Enrollment Id | I20150721001675 |
| Last Name | HOLL |
| First Name | STACY |
| Middle Name | K |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2011 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Organization Legal Name | GRAND ITASCA CLINIC AND HOSPITAL |
| Group Practice Pac Id | 8123939550 |
| Number Of Group Practice Members | 74 |
| Line 1 Street Address | 1601 GOLF COURSE RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | GRAND RAPIDS |
| State | MN |
| Zip Code | 557448648 |
| Phone Number | 2183263401 |
| Hospital Affiliation Ccn 1 | 240064 |
| Hospital Affiliation Lbn 1 | GRAND ITASCA CLINIC AND HOSPITAL |
| Hospital Affiliation Ccn 2 | 240002 |
| Hospital Affiliation Lbn 2 | ESSENTIA HEALTH ST MARY'S MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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