Individual
JAMES R HEABERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2999 N MAYFAIR RD, WAUWATOSA, WI 53222-4306
(414) 479-7000
(414) 479-7001
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
75451
WI
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
75451
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100177689
—
WI
Enumeration date
03/28/2015
Last updated
08/12/2024
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