Female

Katie Hinderaker MD

Family Medicine Physician in Lake City, MN(View on Map)

Full Name

Katie Hinderaker MD

NPI Number

1548615255

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/01/2016

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Minnesota

License Number

62852

Contact
Information

Purpose

Mailing
Location

Address

580 RICE ST
500 W GRANT ST

City

Saint Paul
Lake City

State

MN
MN

Postal Code

55103-2148
55041-1143

Country

US
US

Telephone Number

(651) 227-6551
(651) 345-3321

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

khinderaker625466@ehrdirect.mayoclinicmsg.org

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

N

Endpoint Location

500 W Grant StLake City, MN550411143US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/26/2020

Provider Address

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