Kenneth B Heithoff MD

NPI 1063477131 - Radiology - 2085R0202X

NPI Details
NPI 1063477131
Gender Male
Enumeration Date 04/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
5775 WAYZATA BOULEVARD
SUITE 190
ST LOUIS PARK MN, 55416, US
Phone (952) 541-1840
Fax (952) 513-6880
Business Location
PO BOX 1414
NCB-6
MINNEAPOLIS MN, 55480-1414, US
Phone (952) 542-8553
Fax (952) 513-6880
Toxanomy
Taxonomy Code 2085R0202X
License State Minnesota
License Number 18169
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According to our database, Kenneth B Heithoff MD NPI is 1063477131, taxonomy code is 2085R0202X and license number is 18169, license state is located at Minnesota. Kenneth B Heithoff MD physically located at 5775 Wayzata Boulevard, St Louis Park MN, 55416. NPI Number Kenneth B Heithoff MD has the Individual type.

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1063477131 NPI number is provided on an as is basis without warranty of any kind. 1063477131 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth B Heithoff MD are for informational purposes only.