Individual
HEIDI J HARKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6901 W EDGERTON AVE, GREENFIELD, WI 53220
(414) 421-8400
Mailing address
6901 W EDGERTON AVE, GREENFIELD, WI 53220-4420
(414) 421-8400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24170
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008
BCBS
WI
05
—
30422500
—
WI
Enumeration date
05/15/2006
Last updated
09/11/2019
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