Individual
PAUL A HEISCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3 PROFESSIONAL DR, STE B, ALTON, IL 62002
(618) 465-7177
Mailing address
940 WEST PORT PLAZA, STE 270, SAINT LOUIS, MO 63146
(314) 453-0600
(314) 453-0083
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
IL
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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