Cheryl D Hallsted PA

NPI 1003890989 - Physician Assistant - 363AS0400X

NPI Details
NPI 1003890989
Gender Female
Enumeration Date 12/03/2005
Last Updated 12/11/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
1015 MARSH ST
MANKATO MN, 56001-5294, US
Phone (507) 389-4700
Fax
Business Location
1025 MARSH ST
MANKATO MN, 56001-4752, US
Phone (507) 625-4031
Fax
Toxanomy
Taxonomy Code 363AS0400X
License State Minnesota
License Number 9980
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According to our database, Cheryl D Hallsted PA NPI is 1003890989, taxonomy code is 363AS0400X and license number is 9980, license state is located at Minnesota. Cheryl D Hallsted PA physically located at 1015 Marsh St, Mankato MN, 56001-5294. NPI Number Cheryl D Hallsted PA has the Individual type.

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1003890989 NPI number is provided on an as is basis without warranty of any kind. 1003890989 is maintained by the National Plan & Provider Enumeration System. The contents of Cheryl D Hallsted PA are for informational purposes only.