# MRS. HEATHER ANNE WIELDE KARLS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1578577235
- **Gender:** F
- **Credential:** D.C., C.C.S.P.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 3386 | MN | Yes |
| 111NS0005X | Sports Physician Chiropractor | 3386 | MN | — |

## Other

- **Enumeration date:** 07/28/2006
- **Last updated:** 01/06/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 350041729 | RAILROAD MEDICARE | MN |
| 05 | — | 483216700 | — | MN |
| 01 | — | 5C509KA | BLUECROSS BLUESHIELD | MN |