Individual
DR. JAMES ALLEN VANHEEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 N MAYFAIR RD, SUITE 535, WAUWATOSA, WI 53226-4216
(414) 258-5130
(414) 258-5150
Mailing address
201 N MAYFAIR RD, SUITE 535, WAUWATOSA, WI 53226-4216
(414) 258-5130
(414) 258-5150
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
19022
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30178300
—
WI
Enumeration date
08/19/2005
Last updated
07/10/2007
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