Mark Randy Halstrom in Sartell - Family Medicine
Mark Randy Halstrom - NPI 1982601647
Mark Randy Halstrom is a Family Medicine in Sartell, Minnesota. Mark Randy Halstrom practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mark Randy Halstrom is 1982601647. The last update date is 2013-08-27.
Mark Randy Halstrom's current location address is Po Box 296, Sartell, Minnesota. You can contact this provider via phone number 3202512600 and fax number 3202514763. The mailing address for Mark Randy Halstrom is Po Box 296, Sartell, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Randy Halstrom |
|---|---|
| Address | Po Box 296, Sartell, Minnesota |
| Phone Number | 3202512600 |
| Fax Number | 3202514763 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1982601647 |
|---|---|
| Provider Enumeration Date | 2005-07-07 |
| Last Updated Date | 2013-08-27 |
Provider Mailing Address Detail
| Address | Po Box 296 |
|---|---|
| City | Sartell |
| State | Minnesota (MN) |
| Post Code | 563770296 |
| Phone Number | 3202512600 |
| Fax Number | 3202514763 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 42506 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 339524300 | MN | -- | |
| 169318P539 | MN | UCARE | |
| HP30911 | MN | HEALTH PARTNERS | |
| 41D31HA | MN | BLUE CROSS BLUE SHIELD | |
| MR143-104661 | MN | PREFERRED ONE | |
| 01-05807 | MN | MEDICA | |
| 31216004 | MN | PRIME WEST |
Post Comment/ Review Below
What is the Mark Randy Halstrom's 1982601647?
The Mark Randy Halstrom's NPI (National Provider Identifier) Number is 1982601647. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Mark Randy Halstrom is physically located?
The Mark Randy Halstrom is physically situated at the following address: Po Box 296, Sartell, MN, 563770296.
What is Mark Randy Halstrom's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mark Randy Halstrom's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1982601647 to Mark Randy Halstrom?
The Mark Randy Halstrom received its 1982601647 assignment from the Centers for Medicare & Medicaid Services on 2005-07-07.
As of what date were the details pertaining to Mark Randy Halstrom last refreshed?
The information related to the Mark Randy Halstrom, including its address, specialty, and other relevant details, was last updated on 2013-08-27.