Individual
DR. STEPHANIE SUE HEINLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
102 GRAND CRESCENT, ALPHARETTA, GA 30009
(952) 595-1100
(612) 294-4903
Mailing address
11995 SINGLETREE LN, SUITE 500, EDEN PRAIRIE, MN 55344-5347
(952) 595-1301
(612) 294-4903
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
00022374
AL
2085R0202X
Diagnostic Radiology Physician
058684
GA
2085R0202X
Diagnostic Radiology Physician
Primary
MD.023888
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1486019
—
LA
Enumeration date
06/01/2006
Last updated
08/28/2017
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