Grass Roots Health Foods
Grass Roots Health Foods is a Medical Foods Supplier in Eagle River, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2012.
- Licensed in
- WI
- In the registry since
- 2012
Practice location Address checks out
3440 State Highway 70 EEagle River, WI 54521-9491
Phone: (715) 479-6299
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Foods Supplier (primary) | Taxonomy 335G00000X (WI) |
|---|
Record details
| NPI number | 1679843700 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Koller — Owner · (715) 479-6299 |
| NPI enumerated | January 5, 2012 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 3440 State Highway 70 E, Eagle River, WI 54521-9491 |