Individual
DR. DWAYNE R HEITMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 E 28TH ST STE 600, MINNEAPOLIS, MN 55407-3723
(612) 863-5327
Mailing address
800 E 28TH ST STE 600, MINNEAPOLIS, MN 55407-3723
(612) 863-5327
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
62536
MN
2084P0800X
Psychiatry Physician
Primary
62536
MN
Other
Enumeration date
05/23/2007
Last updated
11/10/2020
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