Individual
HEATHER MOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CLS
Contact information
Practice address
3520 TOWER AVE, SUPERIOR, WI 54880-5335
(715) 398-2491
Mailing address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 725-2000
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
12345
MN
Other
Enumeration date
03/25/2026
Last updated
03/25/2026
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