NPI Profile for LUKE A HERDINA in BIG LAKE, MN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant |
| 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 |
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| Hospital affiliation(s) |
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LUKE A HERDINA
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