Dr. Dwayne R Heitmiller, M.D.
Psychiatry & Neurology, Psychiatry in Minneapolis, MN. Individual provider (NPI-1).
NPI number1083824528
StatusActive
Last updated in NPPESNov 10, 2020
Details
- NPI
- 1083824528
- Entity type
- Individual (NPI-1)
- Name
- Dr. Dwayne R Heitmiller
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 23, 2007
- Certification date
- Nov 10, 2020
- Last updated
- Nov 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 62536 | MN | Yes |
| 2084P0015X | Psychiatry & Neurology, Psychosomatic Medicine | 62536 | MN |
Practice location
800 E 28th St Ste 600Minneapolis, MN 55407-3723
Phone 612-863-5327
Mailing address
800 E 28th St Ste 600Minneapolis, MN 55407-3723
Phone 612-863-5327
Other practice locations
2925 Chicago Ave
Minneapolis, MN 55407-1321
Minneapolis, MN 55407-1321
Phone 612-262-5000
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