Provider Demographics
NPI:1649359209
Name:WUERGER, HEIDI R (MD)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:R
Last Name:WUERGER
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 1:309 JEFFERSON AVE SW
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:MN
Mailing Address - Zip Code:55388-8101
Mailing Address - Country:US
Mailing Address - Phone:952-955-1921
Mailing Address - Fax:952-955-3115
Practice Address - Street 1:309 JEFFERSON AVE SW
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:MN
Practice Address - Zip Code:55388-8101
Practice Address - Country:US
Practice Address - Phone:952-955-1921
Practice Address - Fax:952-955-3115
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN39897207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine