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NPI Code Detail

MEDICARE: DR. ANDREA HILLSTAD ND

MEDICARE:  DR. ANDREA  HILLSTAD  ND
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175F00000XNaturopath2016-03ND

General Provider Information

NPI Number : 1356788277
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREA HILLSTAD ND
Provider Business Mailing Address
First Line : 4133 30TH AVE S STE 104
Second Line :
City : FARGO
State : ND
Zip : 58104-8421
Country : US
Telephone Number : 701-314-4008
Fax Number : 701-829-7247
Provider Business Practice Location Address
First Line : 4133 30TH AVE S STE 104
Second Line :
City : FARGO
State : ND
Zip : 58104-8421
Country : US
Telephone Number : 701-314-4008
Fax Number : 701-829-7247
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2013
Last Update Date : 09/09/2024

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Directions to “ DR. ANDREA HILLSTAD ND” Practice Location

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