Search › Minnesota › 125J00000X
William Heitzman
NPI 1134564552 · on the registry since 2013
Practice
- Address
- 415 1st Ave E
Shakopee, MN 55379 - Phone
- (952) 403-5149
- Fax
- (952) 403-5969
- Organisation at this address
- Shakopee Valley Family Dental Care, P.A.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 701 25th Ave S Ste 400, Minneapolis, MN
Registry record
- Primary taxonomy
- 125J00000X
125J00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota