Individual
MITCHELL E HEUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1421 PREMIER DR, MANKATO CLINIC @ WICKERSHAM CAMPUS, MANKATO, MN 56001
(507) 625-1811
Mailing address
PO BOX 8674, MANKATO CLINIC LTD, MANKATO, MN 56002-8674
(507) 625-1811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46561
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0117198
MEDICA
MN
01
—
131456
UCARE
MN
01
—
2178704
AMERICAS PPO
MN
05
—
2242628
—
IA
01
—
252L9HE
BCBS
MN
01
—
410849339 56001 C216
CHAMPUS
—
05
—
892907600
—
MN
01
—
HP42266
HEALTH PARTNERS
MN
01
—
NA2951040974
PREFERRED ONE
MN
01
—
P00218990
RR MEDICARE
—
Enumeration date
01/09/2006
Last updated
07/10/2020
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