NPI 1104024868
Heidi Raquel Childs
Practice location
- Address
- 29903 Sunny Beach Rd, Grand Rapids, MN 55744-4528
- Phone
- (218) 326-1485
Registered specialties
Military Health Care Provider
Primary
Registry record
- NPI
- 1104024868
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 4 Jul 2007
- Record last updated
- 8 Jul 2007
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.