SCOTT IAN HALVORSON

DULUTH, MN
NPI1003145426
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MN  r166293-9)
Enumeration Date2009-12-14
Last Update Date2020-12-18
Business Address
SCOTT IAN HALVORSON CRNA
915 E 1ST ST
DULUTH, MN 55805-2107
Phone number: 218-249-5555
Mailing Address
SCOTT IAN HALVORSON CRNA
915 E 1ST ST
DULUTH, MN 55805-2107
Phone number: 218-249-5555