DR. Randy Michael Halstrom

NPI #1013185883 in Sartell, Minnesota

Provider Information

NPI Number: 1013185883
Entity Type: Individual
Name: DR. Randy Michael Halstrom
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Feb 14, 2008
Last Updated: Feb 14, 2008

Practice Location

Address: 4572 PINE POINT RD
City: Sartell
State: Minnesota
ZIP Code: 56377-9748
Phone: (320) 367-0389

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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