Individual
BRANDI LEIGH HEINZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2001 BLAISDELL AVE, MINNEAPOLIS, MN 55404-2414
(952) 993-8000
(952) 993-8039
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-143633
OH
207R00000X
Internal Medicine Physician
Primary
76366
MN
208000000X
Pediatrics Physician
35-143633
OH
208000000X
Pediatrics Physician
76366
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0020769
—
OH
Enumeration date
03/22/2019
Last updated
08/09/2024
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