Individual
DR. KARA HEUVELHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
700 WEST AVE S, LA CROSSE, WI 54601-4783
(608) 785-0940
Mailing address
200 1ST AVE NW, ROCHESTER, MN 55901-3004
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
5151012647
MI
2085R0202X
Diagnostic Radiology Physician
Primary
69038
MN
2085R0202X
Diagnostic Radiology Physician
76335
WI
2085R0202X
Diagnostic Radiology Physician
MED-PHYS-LIC-104446
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5101022600
MEDICAL/EDUCATIONAL LICENSE NUMBER
MI
Enumeration date
06/09/2016
Last updated
11/02/2022
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