Individual
KYLE GREGORY HALVORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2530 CHICAGO AVE, MINNEAPOLIS, MN 55404-4289
(651) 220-5230
Mailing address
5901 LINCOLN DRIVE, CBC-2-REV/PE, EDINA, MN 55436-1611
(952) 992-5691
(952) 992-6917
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
62144
MN
Other
Enumeration date
04/20/2010
Last updated
07/21/2022
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