Individual
HEIDI JEAN KORSTAD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
135 PINE TREE DRIVE, BIGFORK, MN 56628
(218) 743-3232
(218) 743-4223
Mailing address
135 PINE TREE DRIVE, PO BOX 135, BIGFORK, MN 56628
(218) 743-3232
(218) 743-4223
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27893
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
72222
MPIN
MN
Enumeration date
02/21/2006
Last updated
07/08/2007
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