DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. MARY ELLEN HEEZEN M.D.

MEDICARE: DR. MARY ELLEN HEEZEN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician30616MN

General Provider Information

NPI Number : 1982687422
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARY ELLEN HEEZEN M.D.
Provider Business Mailing Address
First Line : 6465 WAYZATA BLVD
Second Line : STE 315
City : ST LOUIS PARK
State : MN
Zip : 55426-1728
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5320 HYLAND GREENS DR
Second Line :
City : BLOOMINGTON
State : MN
Zip : 55437-3934
Country : US
Telephone Number : 952-993-2555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2005
Last Update Date : 07/08/2007

Similar Medicare Providers

1881677953 — DR. LINA BANEVICIUTE MD
Practice Location Address:
5320 HYLAND GREENS DR
BLOOMINGTON, MN
55437-3934
Practice Phone: 952-993-2400
Practice Fax:
1790769339 — DR. ROBERT J JEDDELOH M.D.
Practice Location Address:
5320 HYLAND GREENS DR
BLOOMINGTON, MN
55437-3934
Practice Phone: 952-993-3307
Practice Fax:
1235113903 — DR. THOMAS A KIEFER M.D.
Practice Location Address:
5320 HYLAND GREENS DR
BLOOMINGTON, MN
55437-3934
Practice Phone: 952-993-2400
Practice Fax:
1225013865 — DR. STEFAN D KRAMARCZUK M.D.
Practice Location Address:
5320 HYLAND GREENS DR
BLOOMINGTON, MN
55437-3934
Practice Phone: 952-993-2555
Practice Fax:
1578549275 — DONNA TURCHETTI
Practice Location Address:
5320 HYLAND GREENS DR
BLOOMINGTON, MN
55437-3934
Practice Phone: 952-993-3307
Practice Fax:
1407832892 — DIANNE MALLISON
Practice Location Address:
5320 HYLAND GREENS DR
BLOOMINGTON, MN
55437-3934
Practice Phone: 952-993-2550
Practice Fax:

Directions to “ DR. MARY ELLEN HEEZEN M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.