Individual
NIKKI HEIDERSCHEIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 1ST AVE S, SLEEPY EYE, MN 56085-1364
(507) 794-3631
Mailing address
538 3RD AVE NW, SLEEPY EYE, MN 56085-1037
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
125254
MN
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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