Healthcare Provider Details

I. General information

NPI: 1902080518
Provider Name (Legal Business Name): HEIDI SAWDEY D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2007
Last Update Date: 12/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5676 LACENTRE AVENUE
ALBERTVILLE MN
55301-0000
US

IV. Provider business mailing address

5676 LACENTRE AVENUE
ALBERTVILLE MN
55301
US

V. Phone/Fax

Practice location:
  • Phone: 763-497-0777
  • Fax: 763-497-5377
Mailing address:
  • Phone: 763-497-0777
  • Fax: 763-497-5377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4197
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: