Individual
JAMES HEINZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 W COLLEGE AVE, SAINT PETER, MN 56082-1485
(612) 707-4456
Mailing address
11184 193RD AVE NW, ELK RIVER, MN 55330-1226
(612) 707-4456
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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