Individual
CALVIN REED HUNDEBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1531 7TH AVE S, SARTELL, MN 56377-8901
(320) 224-0363
Mailing address
1531 7TH AVE S, SARTELL, MN 56377-8901
(320) 224-0363
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
800027-1
MN
Other
Enumeration date
03/14/2016
Last updated
03/14/2016
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