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Individual
MATTHEW HEYDA
Active
Individual
MATTHEW HEYDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3779
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201K3HE
BLUE CROSS BLUE SHIELD
MN
05
—
709468000
—
MN
Enumeration date
09/24/2008
Last updated
09/24/2008
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