IndividualActive
Daniel Fletcher
NPI 1366164659 · Contractor · Waite Park, MN
Provider details
- NPI number
- 1366164659
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- BC719405 (MN)
Specialties & taxonomies
Other Service Providers
Practice location
400 33rd Ave N Suite 390
Waite Park, MN 56387-5638
Phone: (320) 654-6711
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 123
Sartell, MN 56377-0123
Registry dates
- Enumerated
- 2022-09-14
- Last updated
- 2024-04-30
- Certified
- 2022-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.