Individual provider · Type 1 NPI

Andrew Clark Hoistad

Student in an Organized Health Care Education/Training Program · White Bear Lake, MN

NPI number 1114799301 Active

Practice location

1245 Gun Club Rd
White Bear Lake, MN 55110-3379

Call (612) 644-4887 Map

Mailing address

7445 Humboldt Ave S
Richfield, MN 55423-3827

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114799301

Andrew Clark Hoistad's National Provider Identifier is 1114799301, issued on Oct 23, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in White Bear Lake, MN. The record was last updated on Oct 23, 2023.