Organization
NATHAN G HALSTEAD DDS MS PC
Active
Organization
NATHAN G HALSTEAD DDS MS PC
Active
Other names
Northwoods Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
NONA G OLSON (OFFICE MANAGER)
(218) 722-5233
Entity
Organization
Contact information
Practice address
324 W SUPERIOR ST, SUITE 100, DULUTH, MN 55802-1701
(218) 722-5233
(218) 722-5661
Mailing address
324 W SUPERIOR ST, SUITE 100, DULUTH, MN 55802-1701
(218) 722-5233
(218) 722-5661
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6195-015
WI LICENSE NUMBER
WI
01
—
D11615
MINNESOTA LICENSE NUMBER
MN
Enumeration date
04/13/2016
Last updated
04/13/2016
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