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Individual

DR. HEIDI M DUNNIWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1116 MILLIS AVE, BOONVILLE, IN 47601-2204
(812) 485-1400
(812) 485-1401
Mailing address
PO BOX 13059, BELFAST, ME 04915-4021
(812) 485-1220

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
01050112A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200221210
IN
Enumeration date
01/03/2007
Last updated
03/23/2016
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