Individual
MISS MICHELE LYNN HEINECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7138 10TH AVE S, RICHFIELD, MN 55423-3325
(612) 866-0290
Mailing address
7138 10TH AVE S, RICHFIELD, MN 55423-3325
(612) 655-4781
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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