Individual
DEREK HUNWARDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1900 CENTRACARE CIR, SAINT CLOUD, MN 56303-5000
(320) 253-2663
Mailing address
8350 CASCADE AVE UNIT 8207, WEST DES MOINES, IA 50266-8715
(507) 399-9009
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15005
MN
Other
Enumeration date
03/16/2023
Last updated
08/13/2024
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