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Contact Information

CHERYL D HALLSTED, PA
1015 MARSH ST
MANKATO, MN56001-5294
 Phone: 507-389-4700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CHERYL D HALLSTED · (Female)

NPI # 1003890989
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 12/03/2005
Last updated 12/11/2014 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 9980
Hospital affiliation(s)
  • FAIRVIEW RIDGES HOSPITAL - (Acute Care)
    201 EAST NICOLLET BOULEVARD
    BURNSVILLE, MN 55337
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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