Individual
CATHRYN JOHN HEINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1301 33RD ST S, SAINT CLOUD, MN 56301-9668
(320) 251-8181
Mailing address
3107 DOLORES DR, SAINT CLOUD, MN 56303-0426
(320) 333-4709
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
14260
MN
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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