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Contact Information

HEARTLAND ORTHOPEDIC SPECIALISTS
111 17TH AVE E
SUITE 101
ALEXANDRIA, MN56308-3703
 Phone: 320-762-1144
 Fax: 320-762-1935
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Athletic Trainer

2255A2300X
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for HEARTLAND ORTHOPEDIC SPECIALISTS · (Female)

NPI # 1295835247
Status Active
Credentials
Entity Individual
Enumeration date 09/22/2006
Last updated 01/27/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN Medicaid 888210000
  • Other 61006AL BC/BS
  • Other 30701054 PRIMEWEST
  • Other 104667 UCARE
  • MN Other 564 LICENSE
  • MN Other CP4310 TRAVELERS MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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