Individual
JOSEPH STEPHEN HENEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4702
(952) 993-5222
(952) 993-6499
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
R 165009-3
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
0533
MN
Other
Enumeration date
09/20/2012
Last updated
03/09/2021
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