| 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  |