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Individual

DR. JEREMY JAMES HEFFNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1003 BELLEFONTAINE AVE, SUITE 125, LIMA, OH 45804-2868
(419) 998-8207
(419) 998-8216
Mailing address
1001 BELLEFONTAINE AVE, LIMA, OH 45804-2800
(419) 998-4575
(419) 998-4586

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35.120664
OH
208600000X
Surgery Physician
4301098147
MI
208600000X
Surgery Physician
57.012489
OH
2086S0102X
Surgical Critical Care Physician
35.120664
OH
2086S0102X
Surgical Critical Care Physician
4301098147
MI

Other

Enumeration date
09/10/2010
Last updated
01/04/2021
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