Individual
LINDA J RUNSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
511 E MAPLE ST, HOUSTON, MN 55943-9219
(507) 896-6000
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R1513017
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
530657400
—
MN
Enumeration date
09/29/2006
Last updated
04/28/2016
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