Individual
DR. GWENDOLYN HEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
711 GREEN RD, MADISON, IN 47250-2143
(812) 265-2611
Mailing address
711 GREEN RD, MADISON, IN 47250-2143
(812) 265-2611
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01035782
IN
Other
Enumeration date
05/25/2006
Last updated
01/22/2008
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