Individual
TATYANA HEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
430 BATH RD, BRUNSWICK, ME 04011-2637
(207) 442-0350
(207) 442-0355
Mailing address
430 BATH RD, BRUNSWICK, ME 04011-2637
(207) 442-0350
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1450
NH
363A00000X
Physician Assistant
PA2199
ME
363AS0400X
Surgical Physician Assistant
Primary
PA2199
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/02/2018
Last updated
08/19/2024
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