Individual
DR. HENRI P LANCTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2351 CONNECTICUT AVENUE SOUTH, SUITE 200, SARTELL, MN 56377
(320) 259-1411
Mailing address
1705 GRIZZLY LN, SARTELL, MN 56377-1693
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
41196
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069722200
—
MN
01
—
340015396
RAILROAD MEDICARE
MN
Enumeration date
06/14/2006
Last updated
10/28/2011
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