Hans Bjellum, Md, Pc

NPI 1023304045 - Non-Pharmacy Dispensing Site - 332900000X

NPI Details
NPI 1023304045
Enumeration Date 06/28/2011
Last Updated 06/28/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name HANS HANS
Position PRESIDENT
Phone (218) 846-9981
Fax
Practice Location
1361 WENNER RD
DETROIT LAKES MN, 56501-7918, US
Phone (218) 846-9981
Fax
Business Location
6501 CITY WEST PKWY
EDEN PRAIRIE MN, 55344-3248, US
Phone (952) 653-2525
Fax
Toxanomy
Taxonomy Code 332900000X
License State
License Number
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According to our database, Hans Bjellum, Md, Pc NPI is 1023304045, taxonomy code is 332900000X Hans Bjellum, Md, Pc physically located at 1361 Wenner Rd, Detroit Lakes MN, 56501-7918. NPI Number 1033115704 has the healthcare provider type.

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1023304045 NPI number is provided on an as is basis without warranty of any kind. 1023304045 is maintained by the National Plan & Provider Enumeration System. The contents of Hans Bjellum, Md, Pc are for informational purposes only.