Individual
EMILY MARIE HVIDSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
420 E 1ST ST, DULUTH, MN 55805-1901
(218) 786-8364
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
67847
MN
208000000X
Pediatrics Physician
MD-45077
IA
208000000X
Pediatrics Physician
R-10262
IA
Other
Enumeration date
05/28/2015
Last updated
11/09/2020
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