Individual
DAVID E. HALVORSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
34580 410TH ST SE, FOSSTON, MN 56542-9799
(218) 766-2915
Mailing address
34580 410TH ST SE, FOSSTON, MN 56542-9799
(218) 766-2915
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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