Search › Minnesota › 364SL0600X
Derartu Hayato
NPI 1912629890 · on the registry since 2022
Practice
- Address
- 3857 Van Dyke St
White Bear Lake, MN 55110 - Phone
- (952) 688-7128
Registry record
- Primary taxonomy
- 364SL0600X
364SL0600X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-05-31
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