Individual
EMILY HALVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
(612) 273-4098
Mailing address
3300 OAKDALE AVE N, MINNEAPOLIS, MN 55422-2926
(763) 581-2771
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
68959
MN
208000000X
Pediatrics Physician
68959
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2017
Last updated
06/28/2022
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