Heide'S Mastectomy Services Of Duluth. in Duluth - Specialist

Heide'S Mastectomy Services Of Duluth. - NPI 1851474506

Heide'S Mastectomy Services Of Duluth. is a Specialist in Duluth, Minnesota. Heide'S Mastectomy Services Of Duluth. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Heide'S Mastectomy Services Of Duluth. is 1851474506. The last update date is 2008-09-09.

Heide'S Mastectomy Services Of Duluth.'s current location address is 701 1/2 North 6th Ave. East, Duluth, Minnesota. You can contact this provider via phone number 2187227860 and fax number 2187227872. The mailing address for Heide'S Mastectomy Services Of Duluth. is 701 1/2 North 6th Ave. East, Duluth, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Heide'S Mastectomy Services Of Duluth.
Address 701 1/2 North 6th Ave. East, Duluth, Minnesota
Phone Number 2187227860
Fax Number 2187227872
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Wrazidlo R Kathleen
Telephone Number 2187227860

NPI Number Detail

NPI Number 1851474506
Provider Enumeration Date 2006-10-23
Last Updated Date 2008-09-09

Provider Mailing Address Detail

Address 701 1/2 North 6th Ave. East
City Duluth
State Minnesota (MN)
Post Code 558051333
Phone Number 2187227860
Fax Number 2187227872

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3833743 MN BCBS
41166285019 WI BCBS
60724 MN HEALTH PARTNERS
8211003 MN MEDICA
41665200 WI --
1011560 MN PREFERRED ONE
784363100 MN --

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FAQs about Heide'S Mastectomy Services Of Duluth.

What is the unique 10-digit identification code assigned to Heide'S Mastectomy Services Of Duluth. by the Centers for Medicare & Medicaid Services?

The Heide'S Mastectomy Services Of Duluth. has been issued the NPI (National Provider Identifier) 1851474506, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Heide'S Mastectomy Services Of Duluth.'s physical address?

The Heide'S Mastectomy Services Of Duluth. is physically located at 701 1/2 North 6Th Ave. East, in the city of Duluth, MN, with the postal code 558051333.

What is Heide'S Mastectomy Services Of Duluth.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Heide'S Mastectomy Services Of Duluth.'s specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.

When was the Heide'S Mastectomy Services Of Duluth.'s 1851474506 issued?

The Heide'S Mastectomy Services Of Duluth.'s 1851474506 was issued on 2006-10-23.

When was the information related to Heide'S Mastectomy Services Of Duluth. most recently updated or refreshed?

The details pertaining to the Heide'S Mastectomy Services Of Duluth., including its address, specialty, and other relevant information, were last updated or refreshed on 2008-09-09.

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