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Individual
DR. KURT F HEITMAN
Active
Individual
DR. KURT F HEITMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
15354
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153549
—
SC
01
—
1548218340
NPI
—
01
—
E841621571
MEDICARE UPIN GROUP NUMBER FOR GREENVILLE OFFICE
SC
01
—
E841626180
MEDICARE UPIN GROUP NUMBER GREER OFFICE
SC
01
—
E841627951
GHS MEDICARE PTAN
SC
Enumeration date
05/04/2006
Last updated
04/19/2018
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