Individual
SAMUEL HEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
913 E 26TH ST STE 600, MINNEAPOLIS, MN 55404-4515
(612) 775-6200
Mailing address
913 E 26TH ST STE 600, MINNEAPOLIS, MN 55404-4515
(612) 775-6200
(612) 775-6222
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/12/2023
Last updated
05/06/2026
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