Provider Demographics
NPI:1588642888
Name:VALGEMAE, ALLAN HEINO (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:HEINO
Last Name:VALGEMAE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1550 HIGHWAY 71 NE
Mailing Address - Street 2:
Mailing Address - City:WILLMAR
Mailing Address - State:MN
Mailing Address - Zip Code:56201-9599
Mailing Address - Country:US
Mailing Address - Phone:320-231-5100
Mailing Address - Fax:320-231-5329
Practice Address - Street 1:1550 HIGHWAY 71 NE
Practice Address - Street 2:
Practice Address - City:WILLMAR
Practice Address - State:MN
Practice Address - Zip Code:56201-9504
Practice Address - Country:US
Practice Address - Phone:320-231-5100
Practice Address - Fax:320-231-5329
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN327812084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN40D32VAOtherBC/BS MPIN
MNF26114Medicare UPIN