Individual
TRAVIS JOHN HEINING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4500 MARKETPOINTE DRIVE SUITE 100, BLOOMINGTON, MN 55435-5435
(952) 767-4574
Mailing address
4300 MARKETPOINTE DR STE 100, BLOOMINGTON, MN 55435-5435
(952) 767-4574
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A86894
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A868940
BLUE SHIELD
CA
05
—
00A868940
—
CA
01
—
P00266926
RAILROAD MEDICARE
CA
Enumeration date
04/14/2006
Last updated
06/25/2025
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