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Individual

CHARLES HOUNSHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

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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