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Individual
HEATHER RAE DANCKWART
Active
Individual
HEATHER RAE DANCKWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
54082
MN
207Q00000X
Family Medicine Physician
Primary
54082
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699092130
BCBS
MN
01
—
1699092130
MEDICA
—
05
—
1699092130
—
MN
01
—
P00978475
RR MEDICARE
—
Enumeration date
04/23/2010
Last updated
12/12/2016
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