Individual
DR. HOWARD J. HEISLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
PHS INDIAN HOSPITAL, HIGHWAY 1, RED LAKE, MN 56671-0497
(218) 679-3912
(218) 679-0181
Mailing address
PO BOX 497, REDLAKE, MN 56671-0497
(218) 679-3912
(218) 679-0181
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2246
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34G01HE
BC/BS OF MN
MN
Enumeration date
07/05/2006
Last updated
10/24/2007
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