Individual
MR. TERRENCE KEITH HALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8736 LYNDALE AVE S, BLOOMINGTON, MN 55420-2738
(612) 701-7964
Mailing address
7308 NICOLLET AVE, RICHFIELD, MN 55423-3121
(612) 701-7964
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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