Ellie Heydari, DDS

NPI 1518137652 · on the registry since 2008 · sole proprietor

Practice

Address: 36745 Aiken Rd.
Red Cliff Community Health Center
Bayfield, WI 54814
Phone: (715) 779-3707
Fax: (715) 779-3622
Organisation at this address: Red Cliff Band Of :Ake Superior
Red Cliff Band Of Lake Superior Chippewa Indians
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Also registered as: 1223G0001X
Licence states on file: MI, WI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2017-02-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin