Individual
DR. RANDY MICHAEL HALSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4572 PINE POINT RD, SARTELL, MN 56377-9748
(320) 367-0389
Mailing address
4572 PINE POINT RD, SARTELL, MN 56377-9748
(320) 367-0389
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7550
MN
Other
Enumeration date
02/14/2008
Last updated
02/14/2008
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