Individual
KATIE HINDERAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 W GRANT ST, LAKE CITY, MN 55041-1143
(651) 345-3321
Mailing address
580 RICE ST, SAINT PAUL, MN 55103-2148
(651) 227-6551
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
62852
MN
Other
Enumeration date
05/01/2016
Last updated
10/26/2020
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