Individual
JOSHUA DANIEL HEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MINNEAPOLIS, MN 55415-1623
(612) 873-4093
Mailing address
420 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0341
(612) 625-3680
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
28790
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2016
Last updated
01/18/2018
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