Individual
MICHAEL FRANCIS HEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5540 N BENTON DR, SAUK RAPIDS, MN 56379-9447
(320) 257-8326
Mailing address
5540 N BENTON DR, SAUK RAPIDS, MN 56379-9447
(320) 257-8326
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118387
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118387
STATE LICENSE NUMBER
MN
Enumeration date
02/09/2012
Last updated
02/09/2012
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