Organization
HEARTLAND PLASTIC & HAND SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID M DEISHER MD (MANAGING MEMBER)
(573) 334-4263
Entity
Organization
Contact information
Practice address
319 S SILVER SPRINGS RD, STE C, CAPE GIRARDEAU, MO 63703-6311
(573) 334-4263
(573) 334-3699
Mailing address
319 S SILVER SPRINGS RD, STE C, CAPE GIRARDEAU, MO 63703-6311
(573) 334-4263
(573) 334-3699
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507543601
—
MO
Enumeration date
10/04/2006
Last updated
03/23/2015
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