Brent Heimuller M.D.

NPI 1053364562 - Pediatrics - 208000000X

NPI Details
NPI 1053364562
Gender Male
Enumeration Date 05/18/2006
Last Updated 01/09/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
2435 NE CUMULUS AVE STE A
MCMINNVILLE OR, 97128-8862, US
Phone (503) 472-6161
Fax (503) 434-6290
Business Location
2435 NE CUMULUS AVE STE A
MCMINNVILLE OR, 97128-8862, US
Phone (503) 472-6161
Fax (503) 434-6290
Toxanomy
Taxonomy Code 208000000X
License State Oregon
License Number MD18814
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According to our database, Brent Heimuller M.D. NPI is 1053364562, taxonomy code is 208000000X and license number is MD18814, license state is located at Oregon. Brent Heimuller M.D. physically located at 2435 Ne Cumulus Ave Ste A, Mcminnville OR, 97128-8862. NPI Number Brent Heimuller M.D. has the Individual type.

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1053364562 NPI number is provided on an as is basis without warranty of any kind. 1053364562 is maintained by the National Plan & Provider Enumeration System. The contents of Brent Heimuller M.D. are for informational purposes only.