Individual
RAYMOND LAWRENCE HAWK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
13071 NETT LAKE RD, ORR, MN 55771-8111
(218) 757-3650
(218) 757-0234
Mailing address
13071 NETT LAKE RD, ORR, MN 55771-8111
(218) 757-3650
(218) 757-0234
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9370
MN
Other
Enumeration date
11/02/2007
Last updated
11/02/2007
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