Individual
CHARLES HOUNSHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
800 MEDICAL CENTER DR, FAIRMONT, MN 56031-4575
(507) 238-8555
Mailing address
800 MEDICAL CENTER DR, PO BOX 800, FAIRMONT, MN 56031-4575
(507) 238-8555
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
465
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118113
—
MN
01
—
27-00364
MEDICA
MN
01
—
5T433HO
BLUE CROSS
MN
05
—
5T433HO
—
MN
01
—
621580
ARAZ
MN
01
—
7911
AVERA
MN
05
—
979195
—
IA
01
—
A004
CHAMPUS
MN
01
—
HP29869
HEALTHPARTNERS
MN
01
—
MH9041000389
PREFERREDONE
MN
Enumeration date
12/07/2005
Last updated
07/09/2007
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