Organization
DERHEIM, INC
Active
Other names
Healthcare Empowered
Organization subpart
No
Provider details
NPI number
Authorized official
TROY DERHEIM (OWNER)
(888) 454-2212
Entity
Organization
Contact information
Practice address
590 PARK ST, SUITE 310, SAINT PAUL, MN 55103-1846
(888) 454-2112
(612) 564-4906
Mailing address
4021 MAIN AVE, SUITE A, FARGO, ND 58103-1186
(888) 454-2112
(612) 564-4906
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/25/2014
Last updated
10/09/2014
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