Individual
DR. CARL OLE HALLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
113 N MAINE AVE, ADRIAN, MN 56110-1072
(507) 483-2101
Mailing address
724 KENTUCKY AVE, P.O. BOX 117, ADRIAN, MN 56110-1085
(507) 483-2626
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8495
MN
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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