Individual
DR. JOHN E HELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1805 HENNEPIN AVE N, GLENCOE, MN 55336-1416
(320) 864-3121
(320) 864-7887
Mailing address
1805 HENNEPIN AVE N, GLENCOE, MN 55336-1416
(320) 864-3121
(320) 864-7887
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
29574
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17683HE
BLUE SHIELD
MN
01
—
1916934
MEDICA
MN
05
—
652077400
—
MN
Enumeration date
03/19/2007
Last updated
07/21/2022
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