Individual provider · Type 1 NPI

Heidi Raquel Childs

Military Health Care Provider · Grand Rapids, MN

NPI number 1104024868 Active

Practice location

29903 Sunny Beach Rd
Grand Rapids, MN 55744-4528

Call (218) 326-1485 Map

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

About NPI 1104024868

Heidi Raquel Childs's National Provider Identifier is 1104024868, issued on Jul 4, 2007. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Grand Rapids, MN. The record was last updated on Jul 8, 2007.