Individual
ALICIA MARIE HEIDENREICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-4486
Mailing address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-4486
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
57.253006
OH
363A00000X
Physician Assistant
50-002512
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/27/2006
Last updated
05/10/2022
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