Individual
PATRICE R HEDLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
101 WILLMAR AVE SW, AFFILIATED COMMUNITY MEDICAL CENTERS, WILLMAR, MN 56201
(320) 231-5079
(320) 231-5000
Mailing address
101 WILLMAR AVE SW, AFFILIATED COMMUNITY MEDICAL CENTERS, WILLMAR, MN 56201
(320) 231-5000
(320) 231-5067
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9439
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
640918100
—
MN
Enumeration date
03/29/2006
Last updated
05/02/2008
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