MARK RANDY HALSTROM

SARTELL, MN
NPI1982601647
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MN  42506)
Enumeration Date2005-07-07
Last Update Date2013-08-27
Business Address
Mr. MARK RANDY HALSTROM MD
100 2ND ST S
SARTELL, MN 56377-1977
Phone number: 320-251-2600
Mailing Address
Mr. MARK RANDY HALSTROM MD
PO BOX 296
SARTELL, MN 56377-0296
Phone number: 320-251-2600