Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | MN8014 | MN |
NPI | 1003953993 |
---|---|
Provider Name | Dr. Terrance Arthur Huusko |
First Address | Hibbing, MN 55746-3001 |
Second Address | Hibbing, MN 55746-3001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2007 |
Last Update Date | 08/07/2007 |