Individual
HANS RICHARD BACKLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1901 CONNECTICUT AVE S, SARTELL, MN 56377-2554
(320) 259-4100
(320) 257-5523
Mailing address
1901 CONNECTICUT AVE S, SARTELL, MN 56377-2554
(320) 259-4100
(320) 257-5523
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/07/2018
Last updated
06/04/2020
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