Individual
MATTHEW HEYDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1313 5TH ST SE, MINNEAPOLIS, MN 55414-4504
(612) 379-3192
Mailing address
PO BOX 581428, MINNEAPOLIS, MN 55458-1428
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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