Individual
DR. DIRK SAUL HALVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
7801 E BUSH LAKE RD STE 400, MINNEAPOLIS, MN 55439-3113
(952) 479-4261
(866) 991-7241
Mailing address
7801 E BUSH LAKE RD STE 400, MINNEAPOLIS, MN 55439-3113
(952) 479-4261
(866) 991-7241
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
584
MN
213E00000X
Podiatrist
877-025
WI
213ES0131X
Foot Surgery Podiatrist
877-025
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518958925
—
MN
05
—
43239800
—
WI
Enumeration date
11/03/2005
Last updated
02/22/2022
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