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Contact Information

LUKE A HERDINA, P.A.-C
16830 198TH AVE NW
BIG LAKE CLINIC
BIG LAKE, MN55309
 Phone: 763-263-7300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LUKE A HERDINA · (Male)

NPI # 1720118912
Status Active
Credentials P.A.-C
Entity Individual
Enumeration date 03/06/2007
Last updated 05/05/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 1259
  • SD License # 0630
Hospital affiliation(s)
  • NEW RIVER MEDICAL CENTER - (Critical Access)
    1013 HART BOULEVARD
    MONTICELLO, MN 55362
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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