Individual
AMY J HEIMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
840 STATE ROAD 136 STE 1, BARABOO, WI 53913-9252
(608) 477-9858
Mailing address
S5467 GASPER DR, BARABOO, WI 53913-9205
(608) 697-4790
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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