Individual
ELISSA S HEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ST
Contact information
Practice address
8540 QUADAY AVE NE, OTSEGO, MN 55330-6522
(763) 441-0298
(763) 441-0591
Mailing address
4200 DAHLBERG DR, SUITE 300, GOLDEN VALLEY, MN 55422-4840
(952) 512-5600
(952) 512-5651
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
08/24/2006
Last updated
10/17/2012
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