Individual
SHANA ELIZABETH MCVEIGH HEISLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21410 136TH AVE NORTH SUITE #109, ROGERS, MN 55374
(763) 428-2217
(763) 428-8586
Mailing address
21410 136TH AVE NORTH SUITE #109, ROGERS, MN 55374
(763) 428-2217
(763) 428-8586
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10892
MN
Other
Enumeration date
11/10/2006
Last updated
07/02/2019
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