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Individual

RICHARD L HEINRICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8170 33RD AVENUE SOUTH, MS 26602G, BLOOMINGTON, MN 55425-1672
(952) 883-6805
(952) 883-6117
Mailing address
8170 33RD AVENUE SOUTH, MS 26602G, BLOOMINGTON, MN 55425-1672
(952) 883-6805
(952) 883-6117

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
34440
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
210777500
MN
Enumeration date
02/13/2006
Last updated
11/20/2015
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