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Individual

HEATHER E CERTAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
202 SO PARK ST, MERITER HOSPITAL, MADISON, WI 53715
(608) 417-6103
(608) 417-5934
Mailing address
202 SO PARK ST, MERITER HOSPITAL, MADISON, WI 53715
(608) 417-6103
(608) 417-5934

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
49386
WI
207R00000X
Internal Medicine Physician
Primary
49386-20
WI
208M00000X
Hospitalist Physician
49386-20
WI

Other

Enumeration date
02/21/2007
Last updated
07/02/2012
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