Individual
SAMUEL JAMES HEIKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3916 N INTERTECH CT, APPLETON, WI 54913-6957
(920) 996-1000
(920) 996-1054
Mailing address
3916 N INTERTECH CT, APPLETON, WI 54913-6957
(920) 996-1000
(920) 996-1054
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35097870
OH
207Q00000X
Family Medicine Physician
Primary
54556-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013176312
—
WI
Enumeration date
06/03/2008
Last updated
05/17/2013
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