Individual
TERENCE LYNN VANDERHEIDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
111 17TH AVE E, ALEXANDRIA, MN 56308-5273
(320) 763-2707
(320) 759-4390
Mailing address
610 30TH AVE W, ALEXANDRIA, MN 56308-3426
(320) 763-2540
(320) 763-5749
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
808
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598857005
—
MN
Enumeration date
09/29/2006
Last updated
08/29/2025
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