Individual
HEIDI GAYE STOLTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 4TH ST SW, MASON CITY, IA 50401-2800
(641) 428-7000
(641) 428-6383
Mailing address
621 S ILLINOIS AVE STE 103, MASON CITY, IA 50401-5489
(641) 428-7000
(641) 428-6383
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46117
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118425300
—
MN
Enumeration date
01/20/2006
Last updated
08/11/2020
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