Individual
DR. JAMES MICHAEL HEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15785 95TH AVE N, MAPLE GROVE, MN 55369-4404
(763) 420-5484
(763) 420-5875
Mailing address
7373 FRANCE AVE S, STE 600, EDINA, MN 55435-4552
(952) 896-1111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11955
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
542413500
—
MN
Enumeration date
12/06/2006
Last updated
09/27/2016
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