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Individual

DR. AMY J HATCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
425TH 7TH ST NW, CASS LAKE, MN 56633
(218) 335-3200
Mailing address
425 7TH ST NW, CASS LAKE, MN 56633-3360
(218) 335-3200

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9344A
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
HSZAAWYSDX
PTAN
WY
Enumeration date
06/22/2010
Last updated
09/19/2024
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