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Individual

THERESA M HAVALAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
870 GRAND AVE, SAINT PAUL, MN 55105-3291
(651) 326-5650
(651) 326-5671
Mailing address
1690 UNIVERSITY AVE W STE 370, SAINT PAUL, MN 55104-3723
(651) 232-5321

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
041-374413
IL
363L00000X
Nurse Practitioner
Primary
5534
MN

Other

Enumeration date
06/20/2013
Last updated
03/17/2018
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