Individual
MR. ANDREW CLARK HOISTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1245 GUN CLUB RD, WHITE BEAR LAKE, MN 55110-3379
(612) 644-4887
Mailing address
7445 HUMBOLDT AVE S, RICHFIELD, MN 55423-3827
(651) 324-3051
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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