Individual
JAMES RICHARD HITCHCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
717 S STATE ST, SUITE 900, FAIRMONT, MN 56031-4469
(507) 238-4949
(507) 238-3377
Mailing address
502 HARRISON ST, RED WING, MN 55066-2053
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20026
AVERA
—
01
—
615P0HI
BLUE CROSS BLUE SHIELD
MN
01
—
65451
SANFORD HEALTH
—
01
—
974311053869
PREFERREDONE
—
01
—
HP88102
HEALTHPARTNERS
—
Enumeration date
07/10/2006
Last updated
05/30/2008
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