Individual
MADELYNE M HEYING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5043 IDLEWOOD DR, SOUTH BEND, IN 46619-1618
(574) 360-2687
Mailing address
5043 IDLEWOOD DR, SOUTH BEND, IN 46619-1618
(574) 360-2687
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36003776A
IN
Other
Enumeration date
02/27/2023
Last updated
09/25/2023
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