Individual
MRS. HEATHER MICHELLE HAIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
14663 MERCANTILE DR N, HUGO, MN 55038-4559
(651) 407-3777
(651) 407-7064
Mailing address
490 HIGHWAY 96 W, SHOREVIEW, MN 55126-1960
(763) 784-3269
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/05/2006
Last updated
05/17/2016
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