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Individual

DR. JOSEPH VANHEEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
1921 COBORN BLVD, SAINT CLOUD, MN 56301-2100
(320) 252-4222
Mailing address
1115 6TH AVE NW, RICE, MN 56367-8835
(320) 282-2251

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
123896
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
T130258175604
DRIVERS LICENSE
MN
Enumeration date
07/23/2018
Last updated
07/23/2018
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