Individual
DR. JEANNETTE A HEIDLBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9555 UPLAND LN N, MAPLE GROVE, MN 55369-4485
(952) 993-1440
Mailing address
8170 33RD AVE S, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
54935
MN
208000000X
Pediatrics Physician
54935
MN
Other
Enumeration date
03/13/2009
Last updated
03/09/2021
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