Individual
PAUL P HEIDEMAN
Active
Individual
PAUL P HEIDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
63817
WI
2085R0204X
Vascular & Interventional Radiology Physician
Primary
63817
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144546870
—
WI
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
05
—
ENROLLED
—
WI
Enumeration date
04/20/2010
Last updated
07/29/2025
Update your record
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