Individual
HEATHER L GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
270 MAIN ST N STE 300, STILLWATER, MN 55082-6788
(651) 342-1039
(651) 342-1428
Mailing address
270 MAIN ST N STE 300, STILLWATER, MN 55082-6788
(651) 342-1039
(651) 342-1428
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12742
MN
363A00000X
Physician Assistant
4895
WI
Other
Enumeration date
07/04/2018
Last updated
12/02/2025
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