IndividualActive
Danielle Anderson Hertaus
NPI 1194093708 · Specialist · Champlin, MN
Provider details
- NPI number
- 1194093708
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
11041 Wisconsin Ave N
Champlin, MN 55316-3721
Phone: (763) 482-2477
Fax: (763) 424-4684
Approximate (ZIP-level) locationGet directions
Mailing address
11041 Wisconsin Ave N
Champlin, MN 55316-3721
Registry dates
- Enumerated
- 2011-12-09
- Last updated
- 2011-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.