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Individual

HEIDI JANE GOLDSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
CHILDRENS HEALTH CARE, 345 NORTH SMITH AVE, ST PAUL, MN 55102
(612) 343-2121
Mailing address
CHILDRENS SPECIALTY CLINICS, 2525 CHICAGO AVENUE S, MINNEAPOLIS, MN 55404
(612) 343-2121

Taxonomy

Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
60446
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
14161
ND
01
27721
BCBS
ND
01
P00441729
RAILROAD MEDICARE
ND
Enumeration date
10/12/2006
Last updated
08/22/2018
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