Individual
KALE HERMANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
206 1ST ST SE, WADENA, MN 56482-1561
(218) 631-4431
Mailing address
PO BOX 625, WADENA, MN 56482-0625
(218) 631-4431
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14057
MN
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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