Individual
DR. MICHAEL JAMES HEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
421 3RD ST S, STILLWATER, MN 55082-4955
(651) 779-2050
Mailing address
421 3RD ST S, STILLWATER, MN 55082-4955
(651) 779-2050
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
122497
MN
Other
Enumeration date
07/30/2015
Last updated
02/15/2022
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