Individual
DR. EMILIE MARIE HEIDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-7249
Mailing address
136 BIRCH ST APT 2, BANGOR, ME 04401-5405
(914) 588-5178
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
0102208068
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Enumeration date
04/16/2020
Last updated
10/17/2023
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