NPI 1083973804

Heather Phillips, MD

Practitioner General Practice Physician Maplewood, MN

Practice location

Address: 2165 White Bear Ave N, Maplewood, MN 55109-2707
Phone: (651) 523-9800
Mailing address: 8170 33rd Ave S # Ms 21110q, Minneapolis, MN 55425-4516

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 60310 (MN)

Other General Practice providers in Minnesota →

Registry record

NPI: 1083973804
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 May 2012
Record last updated: 23 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.