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Search › Minnesota › 225200000X

Wade Halvorsen

NPI 1952077901 · on the registry since 2021

Practice

Address
923 Hale Lake Pointe
Grand Rapids, MN 55744
Phone
(218) 326-0543
Organisation at this address
Itasca Nursing Home
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-08-19

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