Individual
ALLISON LAURA HETLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-8830
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
DO2459
ME
207Q00000X
Family Medicine Physician
Primary
14123
ND
207Q00000X
Family Medicine Physician
64569
MN
207Q00000X
Family Medicine Physician
DO2459
ME
Other
Enumeration date
02/22/2012
Last updated
02/25/2021
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