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Individual

DR. WADE HEINRICHS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11083 COLORADO BLVD, FIRESTONE, CO 80504-5873
(303) 833-8880
(720) 494-3107
Mailing address
11083 COLORADO BLVD, FIRESTONE, CO 80504
(303) 833-8880
(720) 494-3107

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
42312
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
44857357
CO
Enumeration date
06/14/2005
Last updated
06/15/2017
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