OrganizationActive
Red River Plastic Surgery Center
NPI 1497804082 · Medical Specialty Clinic/Center · East Grand Forks, MN
Provider details
- NPI number
- 1497804082
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Judson Crow, Owner(866) 773-1390
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1428 Central Ave Ne
East Grand Forks, MN 56721-1605
Phone: (866) 773-1390
Approximate (ZIP-level) locationGet directions
Mailing address
1428 Central Ave Ne
East Grand Forks, MN 56721-1605
Registry dates
- Enumerated
- 2007-01-10
- Last updated
- 2008-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.