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Hunter Lake, PT, DPT
NPI 1255172482 · on the registry since 2024
Practice
- Address
- 625 Demers Ave
East Grand Forks, MN 56721 - Phone
- (218) 773-5858
- Organisation at this address
- Sanford Medical Center Fargo
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- ND
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota