Individual
HENRY ONSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 COLLINS AVE, MANDAN, ND 58554-2066
(701) 663-5373
Mailing address
1200 COLLINS AVE, MANDAN, ND 58554-2066
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L11776
ND
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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