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Contact Information

HAKKON ROSENDAHL, PA
404 W FOUNTAIN ST
ALBERT LEA, MN56007-2437
 Phone: 507-373-2384
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for HAKKON ROSENDAHL · (Male)

NPI # 1558760512
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 08/15/2014
Last updated 06/20/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 074801
  • MN License # 11675
Hospital affiliation(s) Not Available
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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