Individual
TRAVIS JAMES HARGREAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3701 12TH ST N STE 202, SAINT CLOUD, MN 56303
(320) 251-2700
Mailing address
18034 QUEEN ST NW, ELK RIVER, MN 55330-1662
(308) 765-1072
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
71435
NE
367500000X
Certified Registered Nurse Anesthetist
Primary
120518
MN
Other
Enumeration date
12/16/2017
Last updated
08/23/2018
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