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Individual

RICHARD W HEINRICHS

Active
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Individual

RICHARD W HEINRICHS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20734
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0402916
MEDICA #
FM
01
—
10148
ND LICENSE #
ND
01
—
10239
NDBS #
MN
05
—
12958
—
MN
01
—
142311
UCARE #
MN
05
—
315068200
—
MN
01
—
63328HE
MNBS #
MN
01
—
901107
AMERICA'S PPO/ARAZ #
MN
01
—
DA9021015699
PREFERRED ONE #
MN
01
—
HP19488
HEALTHPARTNERS #
FM
01
—
MN100011
LHS/BANNERHEALTH #
FM
Enumeration date
06/06/2006
Last updated
08/16/2019
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