Individual provider · Type 1 NPI
Jon Allen Heezen, DDS
Student in an Organized Health Care Education/Training Program · Tracy, MN
NPI number
1013276252
Active
Practice location
212 3rd St
Tracy, MN 56175-1214
Mailing address
1442 191st St
Slayton, MN 56172-1937
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Another provider at this address
About NPI 1013276252
Jon Allen Heezen, DDS's National Provider Identifier is 1013276252, issued on May 9, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tracy, MN. The record was last updated on May 9, 2012.