Randy Michael Halstrom

NPI 1013185883 - Dentist - 122300000X

NPI Details
NPI 1013185883
Gender Male
Enumeration Date 02/14/2008
Last Updated 02/14/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
4572 PINE POINT RD
SARTELL MN, 56377-9748, US
Phone (320) 367-0389
Fax
Business Location
4572 PINE POINT RD
SARTELL MN, 56377-9748, US
Phone (320) 367-0389
Fax
Toxanomy
Taxonomy Code 122300000X
License State Minnesota
License Number D7550
Remove 1013185883 NPI Number
 

According to our database, Dr. Randy Michael Halstrom NPI is 1013185883, taxonomy code is 122300000X and license number is D7550, license state is located at Minnesota. Randy Michael Halstrom physically located at 4572 Pine Point Rd, Sartell MN, 56377-9748. NPI Number Randy Michael Halstrom has the Individual type.

Sponsored links

1013185883 NPI number is provided on an as is basis without warranty of any kind. 1013185883 is maintained by the National Plan & Provider Enumeration System. The contents of Randy Michael Halstrom are for informational purposes only.