Individual
JUSTIN HEINZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 S COLUMBIA RD, GRAND FORKS, ND 58201-4036
(701) 780-5000
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201-4183
(701) 780-1891
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R38033
ND
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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