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NPI Code Detail

MEDICARE: CHRISTIE SUE HEIKES MD

MEDICARE:   CHRISTIE SUE HEIKES  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207XX0005XSports Medicine (Orthopaedic Surgery) Physician46203MN
2207X00000XOrthopaedic Surgery Physician46203MN

General Provider Information

NPI Number : 1154541035
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTIE SUE HEIKES MD
Provider Business Mailing Address
First Line : 3500 AMERICAN BLVD W STE 300
Second Line :
City : BLOOMINGTON
State : MN
Zip : 55431-4442
Country : US
Telephone Number : 952-512-5600
Fax Number :
Provider Business Practice Location Address
First Line : 4010 W 65TH ST
Second Line :
City : EDINA
State : MN
Zip : 55435-1706
Country : US
Telephone Number : 952-456-7000
Fax Number : 952-456-7001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2007
Last Update Date : 02/10/2026

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Directions to “ CHRISTIE SUE HEIKES MD” Practice Location

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