Search › Minnesota › 152W00000X
Mark Hallstrom, O.D
NPI 1710274303 · on the registry since 2011
Practice
- Address
- 2311 Wayzata Blvd S
Minneapolis, MN 55405 - Phone
- (612) 377-5192
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-12-09
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