Mark Robert Heintzkill DC

NPI 1427118413 - Chiropractor - 111N00000X

NPI Details
NPI 1427118413
Gender Male
Enumeration Date 12/11/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
566 REDBIRD CIRCLE
SUITE 7
DEPERE WI, 54115-8796, US
Phone (920) 337-9003
Fax (920) 337-9003
Business Location
566 REDBIRD CIRCLE
SUITE 7
DEPERE WI, 54115-8796, US
Phone (920) 337-9003
Fax (920) 337-9003
Toxanomy
Taxonomy Code 111N00000X
License State Wisconsin
License Number 1697012
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According to our database, Dr. Mark Robert Heintzkill DC NPI is 1427118413, taxonomy code is 111N00000X and license number is 1697012, license state is located at Wisconsin. Mark Robert Heintzkill DC physically located at 566 Redbird Circle, Depere WI, 54115-8796. NPI Number Mark Robert Heintzkill DC has the Individual type.

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1427118413 NPI number is provided on an as is basis without warranty of any kind. 1427118413 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Robert Heintzkill DC are for informational purposes only.