Individual
DR. THOMAS W HEINRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1155 N MAYFAIR RD, BEHAVIORAL HEALTH CLINIC @ TOSA, MILWAUKEE, WI 53226-3421
(414) 955-8900
(414) 955-6295
Mailing address
1155 N MAYFAIR RD, BEHAVIORAL HEALTH CLINIC @ TOSA, MILWAUKEE, WI 53226-3421
(414) 955-8900
(414) 955-6295
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
39060
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006000261Q
HUMANA
—
05
—
1083668354
—
WI
Enumeration date
05/20/2006
Last updated
12/13/2013
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