Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 53537 | MN |
N | 207QA0401X | Family Doctor - Addiction Medicine | 53537 | MN |
NPI | 1083856926 |
---|---|
Provider Name | Heather J Bell |
First Address | Sartell, MN 56377-4645 |
Second Address | Sartell, MN 56377-4645 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2009 |
Last Update Date | 14/04/2021 |