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NPI Code Detail

MEDICARE: DR. JOHN SCOTT HEATH II M.D.

MEDICARE: DR. JOHN SCOTT HEATH II 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
1207RC0000XCardiovascular Disease PhysicianJH081395MI
2207RC0000XCardiovascular Disease Physician78297MN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00111880OTHERMIRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881697985
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN SCOTT HEATH II M.D.
Provider Business Mailing Address
First Line : PO BOX 860912
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55486-0912
Country : US
Telephone Number : 507-433-7351
Fax Number :
Provider Business Practice Location Address
First Line : 1000 1ST DR NW
Second Line :
City : AUSTIN
State : MN
Zip : 55912-2941
Country : US
Telephone Number : 507-433-7351
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 12/05/2024

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Directions to “ DR. JOHN SCOTT HEATH II M.D.” Practice Location

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