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Individual

DR. HEIDI LEE MENDENHALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
101 1ST ST NE, OSSEO, MN 55369-1227
(612) 308-7504
Mailing address
101 1ST ST NE, OSSEO, MN 55369-1227
(612) 308-7504

Taxonomy

Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
32550
CA
111NR0200X
Radiology Chiropractor
Primary
5903
MN

Other

Enumeration date
02/03/2016
Last updated
02/03/2016
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