Individual
WILLIAM W HEITZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
415 1ST AVE E, SHAKOPEE, MN 55379-1439
(952) 403-5149
(952) 403-5969
Mailing address
415 1ST AVE E, SHAKOPEE, MN 55379-1439
(952) 403-5149
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
DT18
MN
Other
Enumeration date
04/30/2013
Last updated
07/21/2022
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