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Individual
PAUL T HEINZMANN
Active
Individual
PAUL T HEINZMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T., M.B.A.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501002327
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114187523
NPI
MI
01
—
1649216144
GROUP NPI
—
01
—
30046
BCBS
MI
01
—
30814
BCN
MI
Enumeration date
06/10/2008
Last updated
12/20/2012
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