Individual provider · Type 1 NPI

Philip J. Heiden, PA-C

Physician Assistant · Maple Grove, MN

NPI number 1760040950 Active

Practice location

7840 Vinewood Ln N
Maple Grove, MN 55369-7185

Fax (763) 420-5531

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X15021 (MN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1760040950

Philip J. Heiden, PA-C's National Provider Identifier is 1760040950, issued on Jun 3, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Maple Grove, MN. The record was last updated on Oct 2, 2025.