Individual
DR. RANDALL E HERGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6016 MAIN ST, ROCKFORD, MN 55373-9581
(763) 477-6273
(763) 477-9693
Mailing address
PO BOX 503, ROCKFORD, MN 55373-0503
(763) 477-6273
(763) 477-9693
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9414
MN
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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