Provider Demographics
NPI:1871002295
Name:HAPTONSTAHL, HEIDI JO (L AC)
Entity type:Individual
Prefix:MS
First Name:HEIDI
Middle Name:JO
Last Name:HAPTONSTAHL
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2112 LYNDALE AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55405-3026
Mailing Address - Country:US
Mailing Address - Phone:612-874-1313
Mailing Address - Fax:612-874-6767
Practice Address - Street 1:2112 LYNDALE AVE S
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55405-3026
Practice Address - Country:US
Practice Address - Phone:612-874-1313
Practice Address - Fax:612-874-6767
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1855171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist