MR. Andrew Clark Hoistad

NPI #1114799301 in White Bear Lake, Minnesota

Provider Information

NPI Number: 1114799301
Entity Type: Individual
Name: MR. Andrew Clark Hoistad
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Oct 23, 2023
Last Updated: Oct 23, 2023

Practice Location

Address: 1245 GUN CLUB RD
City: White Bear Lake
State: Minnesota
ZIP Code: 55110-3379
Phone: (612) 644-4887

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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