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Individual

CRAIG HAUGRUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
211 E MILL ST, PELICAN RAPIDS, MN 56572-4234
(218) 863-1140
Mailing address
16459 430TH ST, PELICAN RAPIDS, MN 56572-7406
(218) 863-3767

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5572
LICENSE #
MN
Enumeration date
08/25/2006
Last updated
10/14/2007
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