Individual
CAROLYN ROSE HEISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2499 HIGHWAY 7, EXCELSIOR, MN 55331-9701
(952) 252-1070
Mailing address
2708 DAKOTA AVE S, ST LOUIS PARK, MN 55416-1831
(612) 388-2175
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
113718
MN
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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