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Individual
MRS. HEATHER ANNE WIELDE KARLS
Active
Individual
MRS. HEATHER ANNE WIELDE KARLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C., C.C.S.P.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3386
MN
111NS0005X
Sports Physician Chiropractor
3386
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350041729
RAILROAD MEDICARE
MN
05
—
483216700
—
MN
01
—
5C509KA
BLUECROSS BLUESHIELD
MN
Enumeration date
07/28/2006
Last updated
01/06/2009
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