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Richard Alan Miezwa
Driver in Sandstone, Minnesota
NPI 1508543216

Richard Alan Miezwa is a Driver based in Sandstone, MN. Richard Alan Miezwa practices in Sandstone, MN. The NPI Number for Richard Alan Miezwa is 1508543216 and holds a License No. K011160217402 (Minnesota).

The current practice location address for Richard Alan Miezwa is 606 Highway 123 W, Sandstone, MN and can be reached out via phone at 320-245-5355 and via fax at 320-216-7638.

Location: 606 Highway 123 W, Sandstone, MN, 55072-0026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508543216
Provider Name
Richard Alan Miezwa
Credential
Provider Entity Type
Individual
Gender
Male
Address
606 Highway 123 W, Sandstone, MN, 55072-0026
Phone Number
320-245-5355
Fax Number
320-216-7638
Provider Enumeration Date
07/04/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
606 Highway 123 W
City
Sandstone
State
Minnesota
Zip
55072-5060
Phone Number
320-245-5355
Fax Number
320-216-7638
person
Provider Business Mailing Address Details
Address
606 Highway 123 W
City
Sandstone
State
Minnesota
Zip
55072-5060
Phone Number
320-245-5355
Fax Number
320-216-7638
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
K011160217402 (Minnesota)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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