Individual
HEATHER ANN STORTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-1166
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
56735
MN
207Q00000X
Family Medicine Physician
OP60094132
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0251674
L & I
WA
05
—
8549172
—
WA
Enumeration date
10/17/2006
Last updated
11/10/2020
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