Doctor Name: | MARY M HIMMLER |
NPI Number: | 1598877896 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | M9054 |
Business Practice Address: | 1 Veterans Dr Mailbox 117 Minneapolis, MN - 554172309 |
Business Phone Number: | 6122314456 |
Business Fax Number: | |
Mailing Address: | 1 Veterans Dr, Mailbox 117 MINNEAPOLIS |
State: | MN |
Postal Code: | 554172309 |
Phone Number: | 6122314456 |
Fax Number: | |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 03/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225400000X |
License Number: | M9054 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ID |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Practitioner |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |