Individual
CODY MICHAEL HUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
606 HIGHWAY 123 W, SANDSTONE, MN 55072-5060
(320) 204-5535
(320) 216-7638
Mailing address
PO BOX 26, SANDSTONE, MN 55072-0026
(320) 245-5355
(320) 216-7638
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
Y135230588409
MN
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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