Individual
JOHN HALSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 467-1100
Mailing address
5430 WASHBURN AVE S, MINNEAPOLIS, MN 55410-2435
(612) 384-9910
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
7281
MN
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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