Individual
HEATHER MARIE WIKTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 NICOLLET MALL # 272, T2769, MINNEAPOLIS, MN 55403-2542
(612) 354-5914
(612) 354-5915
Mailing address
1000 NICOLLET MALL # 272, T2769, MINNEAPOLIS, MN 55403-2542
(612) 354-5914
(612) 354-5915
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
120732
MN
183500000X
Pharmacist
60228
CA
Other
Enumeration date
06/11/2011
Last updated
01/19/2015
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