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Individual

DR. ERIC HEINERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
9126 COLUMBIA AVE, MUNSTER, IN 46321-2907
(219) 836-1600
Mailing address
9126 COLUMBIA AVE, MUNSTER, IN 46321-2907

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
02004364A
IN
208000000X
Pediatrics Physician
Primary
OS020467
PA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/23/2010
Last updated
08/26/2022
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