Individual
ALYSE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
712 S CASCADE ST, FERGUS FALLS, MN 56537-2913
(218) 736-8000
Mailing address
228 E HILLSIDE AVE, FERGUS FALLS, MN 56537-1291
(701) 866-1719
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13057
MN
Other
Enumeration date
07/07/2019
Last updated
07/29/2022
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