Individual
HEIDI PAULETTE MCLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
407 E 3RD ST, DULUTH, MN 55805-1950
(218) 786-4000
Mailing address
407 E 3RD ST, DULUTH, MN 55805-1950
(218) 786-4000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102075
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
384L1MC
BCBS
MN
01
—
6405404
MEDICA
—
Enumeration date
07/12/2006
Last updated
07/08/2007
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