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Contact Information

HEATHER R CICHANOWSKI, MD
435 PHALEN BLVD
MAIL STOP 51103H
SAINT PAUL, MN55130-5302
 Phone: 651-254-8300
 Fax: 651-254-8379
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for HEATHER R CICHANOWSKI · (Female)

NPI Number 1295701548
Status Active
Credentials MD
Entity Individual
Enumeration date 02/27/2006
Last updated 05/22/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 44664
  • WI License # 46784020
  • MN Medicaid 177272400
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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