Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223D0004X | Dentist Anesthesiologist | D11600 | MN |
Y | 1223D0004X | Dentist Anesthesiologist | S146 | MN |
NPI | 1861481327 |
---|---|
Provider Name | Dr. Heather Eileen Robinson |
First Address | West St Paul, MN 55118-3918 |
Second Address | West St Paul, MN 55118-3918 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2005 |
Last Update Date | 15/06/2020 |