Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Itasca Surgical Clinic, PA

Organization Specialist · NPI 1245288984

Itasca Surgical Clinic, PA is a Specialist in Grand Rapids, Minnesota. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1542 Golf Course Rd Ste 202
Grand Rapids, MN 55744-9603
Phone: (218) 327-7973
Fax: (218) 327-3245
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1245288984
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Margo — Owner · (218) 327-7973
NPI enumeratedMay 5, 2006
Last updated in NPPESJuly 9, 2009
Mailing address3920 13th Ave E, Suite 6, Hibbing, MN 55746-3675