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Individual
MARILYN J HEINE
Active
Individual
MARILYN J HEINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD029203E
PA
207R00000X
Internal Medicine Physician
Primary
MD029203E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001172814
—
PA
01
—
0011728140013
PROMISE
PA
01
—
444312
BS
PA
Enumeration date
04/27/2006
Last updated
04/02/2018
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