Individual
MARIEL HEIMDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4350 ZACHARY LN N, PLYMOUTH, MN 55442-2802
(763) 504-7300
Mailing address
4350 ZACHARY LN N, PLYMOUTH, MN 55442-2802
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1011986
MN
Other
Enumeration date
05/26/2026
Last updated
05/26/2026
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