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Individual

CHARLES J HEYKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
820 ARBUTUS AVE, OCONTO, WI 54153-2004
(920) 835-1100
(920) 835-1099
Mailing address
PO BOX 1866, GREEN BAY, WI 54305-1866
(920) 445-7222
(920) 445-7289

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49636-020
WI
207QG0300X
Geriatric Medicine (Family Medicine) Physician
49636-020
WI

Other

Enumeration date
08/24/2006
Last updated
09/20/2019
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