Individual
HEIDI G H COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9555 UPLAND LANE NORTH, MAPLE GROVE, MN 55369
(952) 993-1440
Mailing address
8170 33RD AVE S, P.O. BOX 1309, MINNEAPOLIS, MN 55440-1309
(952) 993-1440
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
29536
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0311855
MEDICA
MN
01
—
1012966
PREFERRED ONE
MN
01
—
104552
UCARE
MN
01
—
24T71CO
BLUES
MN
05
—
375893100
—
MN
01
—
HP16024
GROUP HEALTH
MN
Enumeration date
04/25/2006
Last updated
02/05/2016
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