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Individual

WENDY K HAALAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FP

Contact information

Practice address
20 BURDICK EXPY W, MINOT, ND 58701-4498
(701) 857-5877
(701) 857-5398
Mailing address
PO BOX 5010, MINOT, ND 58702-5010
(701) 857-5650
(701) 857-5031

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R27925
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
19803
ND
Enumeration date
10/10/2006
Last updated
07/08/2007
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