Dr CAROL M CHURCH is a female medical professional, specializing in Certified Clinical Nurse Specialist (cns). She graduated in 2008.
ITASCA SURGICAL CLINIC, PA
1542 GOLF COURSE RD
SUITE 202
GRAND RAPIDS
MN
557443557
Tel: 2183277973
| Npi | 1609026905 |
| Pac Id | 5193884245 |
| Professional Enrollment Id | I20081105000214 |
| Last Name | CHURCH |
| First Name | CAROL |
| Middle Name | M |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2008 |
| Primary Specialty | CERTIFIED CLINICAL NURSE SPECIALIST (CNS) |
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| Organization Legal Name | ITASCA SURGICAL CLINIC, PA |
| Group Practice Pac Id | 7012925886 |
| Number Of Group Practice Members | 2 |
| Line 1 Street Address | 1542 GOLF COURSE RD |
| Line 2 Street Address | SUITE 202 |
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| City | GRAND RAPIDS |
| State | MN |
| Zip Code | 557443557 |
| Phone Number | 2183277973 |
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| Professional Accepts Medicare Assignment | Y |
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