Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2082S0105X | Plastic Hand Surgeon | 58948 | MN |
NPI | 1801153424 |
---|---|
Provider Name | Christopher James Hillard |
First Address | Minneapolis, MN 55425-4516 |
Second Address | Saint Paul, MN 55130-5302 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2012 |
Last Update Date | 11/07/2019 |