Provider Demographics
NPI:1003552837
Name:HEIL, JULIANNE K (PAC)
Entity Type:Individual
Prefix:
First Name:JULIANNE
Middle Name:K
Last Name:HEIL
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
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Mailing Address - Street 1:4200 DAHLBERG DR STE 300
Mailing Address - Street 2:
Mailing Address - City:GOLDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55422-4841
Mailing Address - Country:US
Mailing Address - Phone:952-512-5600
Mailing Address - Fax:
Practice Address - Street 1:2800 CHICAGO AVE STE 300
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-1353
Practice Address - Country:US
Practice Address - Phone:651-225-7855
Practice Address - Fax:651-312-1570
Is Sole Proprietor?:No
Enumeration Date:2022-05-05
Last Update Date:2022-05-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN14007363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant