Individual
CYNTHIA HEISERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
3511 EMERSON AVENUE NORTH, MINNEAPOLIS, MN 55412-2522
(612) 529-2218
Mailing address
3511 EMERSON AVENUE NORTH, MINNEAPOLIS, MN 55412-2522
(612) 529-2218
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2191
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06921HE
BCBS PROVIDER #
MN
01
—
OC363HE
BCBS INDIVIDUAL PROVIDER
MN
Enumeration date
10/03/2006
Last updated
07/08/2007
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