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Grass Roots Health Foods — NPI 1679843700, Eagle River, WI | NPI Central

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NPI 1679843700

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Grass Roots Health Foods

NPI 1679843700 · Medical Foods Supplier · Eagle River, WI

Provider details

NPI number: 1679843700
Entity type: Organization
Primary specialty: Medical Foods SupplierSuppliers
Authorized official: David Koller, Owner

Practice location

3440 State Highway 70 E

Eagle River, WI 54521-9491

Phone: (715) 479-6299

More WI providers

Mailing address

3440 State Highway 70 E

Eagle River, WI 54521-9491

Registry dates

Enumerated: 2012-01-05
Last updated: 2022-07-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.