Individual
HEIDI MARLIS HAIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6401 FRANCE AVE S, EDINA, MN 55435-2104
(952) 924-5000
Mailing address
1900 CARDINAL DR, SHAKOPEE, MN 55379-4418
(612) 801-7222
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
18802730
WI
163W00000X
Registered Nurse
R1414828
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
R1414828
MN
Other
Enumeration date
05/29/2014
Last updated
09/08/2014
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