Organization
NORTH SHORE ANESTHESIA P.A
Active
Other names
North Shore Anesthesia
Organization subpart
No
Provider details
NPI number
Authorized official
HAL B HEYER MD (PRESIDENT)
(218) 728-8548
Entity
Organization
Contact information
Practice address
1420 LONDON RD, SUITE 100, DULUTH, MN 55805-2433
(218) 728-0650
Mailing address
14700 28TH AVE N, SUITE 20, PLYMOUTH, MN 55447-4835
(763) 559-3779
(763) 450-3986
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028704100
—
MN
Enumeration date
05/18/2006
Last updated
11/01/2018
Update your record
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