Individual
DR. HEATHER LYNN ROSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3738 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2629
(651) 312-1717
(651) 312-1570
Mailing address
1055 WESTGATE DR, SUITE 190, SAINT PAUL, MN 55114-1065
(651) 312-1500
(651) 312-1593
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
46615
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
772622800
—
MN
Enumeration date
08/04/2006
Last updated
06/20/2012
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