Mr Andrew Clark Hoistad, is a
Student In An Organized Health Care Education/training Program based in White Bear Lake, Minnesota. Mr Andrew Clark Hoistad is licensed to practice in * (Not Available) (license number ) and his current practice location is
1245 Gun Club Rd, White Bear Lake, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(612) 644-4887.
NPI number for Mr Andrew Clark Hoistad is 1114799301 and his current mailing address is 7445 Humboldt Ave S, Richfield, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114799301.
Healthcare Provider's Profile
| Full Name | Mr Andrew Clark Hoistad |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1245 Gun Club Rd, White Bear Lake, Minnesota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1114799301
- Provider Enumeration Date: 10/23/2023
- Last Update Date: 10/23/2023
Medical Identifiers
Medical identifiers for Mr Andrew Clark Hoistad such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114799301 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Andrew Clark Hoistad is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Andrew Clark Hoistad,
7445 Humboldt Ave S,
Richfield, MN 55423-3827
Ph: (651) 324-3051 | Mr Andrew Clark Hoistad,
1245 Gun Club Rd,
White Bear Lake, MN 55110-3379
Ph: (612) 644-4887 |
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