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Contact Information

DWAYNE R HEITMILLER, MD
800 E 28TH ST STE 600
MINNEAPOLIS, MN55407-3723
 Phone: 612-863-5327
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Psychosomatic Medicine

2084P0015X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for DWAYNE R HEITMILLER · (Male)

NPI Number 1083824528
Status Active
Credentials MD
Entity Individual
Enumeration date 05/23/2007
Last updated 11/10/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 62536
Hospital affiliation(s)
  • ABBOTT NORTHWESTERN HOSPITAL - (Acute Care)
    800 EAST 28TH STREET
    MINNEAPOLIS, MN 55407
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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