IndividualActive
Heather Phillips, M.D.
NPI 1083973804 · General Practice Physician · Maplewood, MN
Provider details
- NPI number
- 1083973804
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 60310 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2165 White Bear Ave N
Maplewood, MN 55109-2707
Phone: (651) 523-9800
Approximate (ZIP-level) locationGet directions
Mailing address
8170 33rd Ave S # Ms 21110q
Minneapolis, MN 55425-4516
Registry dates
- Enumerated
- 2012-05-14
- Last updated
- 2022-06-23
- Certified
- 2022-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.