Individual
TERESA VERONICA LEVITSKI-HEIKKILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 240-2206
(320) 240-2108
Mailing address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 240-2206
(320) 240-2108
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9197
ND
207RN0300X
Nephrology Physician
Primary
50051
MN
207RN0300X
Nephrology Physician
9197
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12039
—
ND
05
—
514133800
—
MN
Enumeration date
04/25/2006
Last updated
01/02/2019
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