Provider Demographics
NPI:1194833376
Name:VAN HEEST, ANN E (MD)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:E
Last Name:VAN HEEST
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF MINNESOTA PHYSICIANS
Mailing Address - Street 2:2512 SOUTH 7TH STREET R-102
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55454
Mailing Address - Country:US
Mailing Address - Phone:612-273-9400
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF MINNESOTA PHYSICIANS
Practice Address - Street 2:2512 SOUTH 7TH STREET R-102
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55454
Practice Address - Country:US
Practice Address - Phone:612-273-9400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN36740207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN574216OtherARAZ
MNHP17326OtherHEALTHPARTNERS
IA0913889Medicaid
MN200023971OtherRR MEDICARE
MN053713600Medicaid
MN0929749OtherMEDICA - CHOICE
MN09-00027OtherMEDICA - PRIMARY
MN1009337OtherPREFERREDONE
MN103642OtherUCARE
MN3T036VAOtherBLUE CROSS BLUE SHIELD
MN103642OtherUCARE
MN09-00027OtherMEDICA - PRIMARY