Individual
THOMAS P. HEYRMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
N84W16889 MENOMONEE AVE, MENOMONEE FALLS, WI 53051-2810
(262) 251-7500
(262) 251-7128
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
33273
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31866600
—
WI
01
—
P00449417
RR MEDICARE
WI
Enumeration date
07/07/2006
Last updated
10/05/2023
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