Individual
DR. HEATHER CHRISTINE PETT TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
270 MAIN ST N STE 300, STILLWATER, MN 55082-6788
(651) 342-1039
(651) 342-1428
Mailing address
270 MAIN ST N STE 300, STILLWATER, MN 55082-6788
(651) 342-1039
(651) 342-1428
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46825
MN
207Q00000X
Family Medicine Physician
49484-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-19132
MEDICA
—
01
—
135959
UCARE
MN
01
—
517T3PE
BCBSMN
MN
05
—
964678700
—
MN
01
—
CO31
TRICARE WEST
—
Enumeration date
04/26/2006
Last updated
03/31/2026
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