Katherine L Heineman D.O.

NPI 1780817809 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1780817809
Gender Female
Enumeration Date 08/25/2009
Last Updated 07/23/2013
Entity Type Individual
Active Over 7 years ago
Practice Location
3200 GRAND AVE
DES MOINES IA, 50312-4104, US
Phone (515) 271-1732
Fax (515) 271-1697
Business Location
3200 GRAND AVE
DES MOINES IA, 50312-4104, US
Phone (515) 271-1732
Fax (515) 271-1697
Toxanomy
Taxonomy Code 390200000X
License State Michigan
License Number 5101018236
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According to our database, Katherine L Heineman D.O. NPI is 1780817809, taxonomy code is 390200000X and license number is 5101018236, license state is located at Michigan. Katherine L Heineman D.O. physically located at 3200 Grand Ave, Des Moines IA, 50312-4104. NPI Number Katherine L Heineman D.O. has the Individual type.

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1780817809 NPI number is provided on an as is basis without warranty of any kind. 1780817809 is maintained by the National Plan & Provider Enumeration System. The contents of Katherine L Heineman D.O. are for informational purposes only.