Individual
DR. JAMES S HEINZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 MEMORIAL DR, BERLIN, WI 54923-1243
(920) 361-5525
(920) 361-5925
Mailing address
225 MEMORIAL DR, BERLIN, WI 54923-1243
(920) 361-5525
(920) 361-5925
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
39061
WI
207Q00000X
Family Medicine Physician
39061-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32402700
—
WI
01
—
60729
DEAN HEALTH INSURANCE
WI
Enumeration date
11/03/2005
Last updated
05/17/2022
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