Individual
HEATHER LYNN PREKOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4255 MIDWAY RD, HERMANTOWN, MN 55811-3654
(218) 355-1715
Mailing address
4255 MIDWAY RD, HERMANTOWN, MN 55811-3654
(218) 355-1715
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
07482
MN
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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