MR. Mark Randy Halstrom, MD

NPI #1982601647 in Sartell, Minnesota

Provider Information

NPI Number: 1982601647
Entity Type: Individual
Name: MR. Mark Randy Halstrom, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jul 7, 2005
Last Updated: Aug 27, 2013

Practice Location

Address: 100 2ND ST S
City: Sartell
State: Minnesota
ZIP Code: 56377-1977
Phone: (320) 251-2600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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