Individual
DWAYNE HINCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
316 2ND AVE W, WILLISTON, ND 58801-5218
(701) 774-4600
Mailing address
316 2ND AVE W, WILLISTON, ND 58801-5218
(701) 774-4600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R56208
ND
Other
Enumeration date
07/25/2025
Last updated
07/25/2025
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