| Heather A Dale, PA-C | |
|
800 W College Ave, Saint Peter, MN 56082-1485 | |
| (507) 933-7630 | |
| (507) 933-6074 |
| Full Name | Heather A Dale |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 800 W College Ave, Saint Peter, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043300205 | NPI | - | NPPES |
| 10324 | Other | MN | MN STATE LICENSE NUMBER |
| PA504 | Other | ID | STATE LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA504 (Idaho) | Secondary |
| 363A00000X | Physician Assistant | 10324 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Heather A Dale, PA-C 800 W College Ave, Saint Peter, MN 56082-1485 Ph: (507) 933-7630 | Heather A Dale, PA-C 800 W College Ave, Saint Peter, MN 56082-1485 Ph: (507) 933-7630 |
Jeffrey Thomas Weideman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1901 Old Minnesota Ave, Saint Peter, MN 56082 Phone: 507-934-2325 |