Individual
KATHERINE J DELONG-HECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1617 E DIVISION ST, RIVER FALLS, WI 54022-1571
(715) 307-6600
(715) 307-6601
Mailing address
1617 E DIVISION ST, RIVER FALLS, WI 54022-1571
(715) 307-6600
(651) 256-6766
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
208000000X
MN
208000000X
Pediatrics Physician
56329
MN
208000000X
Pediatrics Physician
Primary
60896-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477870921
—
MN
Enumeration date
04/23/2010
Last updated
06/28/2022
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