Individual
JACOB ANDREW HVIDSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
67949
MN
2084N0400X
Neurology Physician
R-10268
IA
Other
Enumeration date
05/28/2015
Last updated
08/14/2020
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