Individual
ALEXANDER HEILNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
614 HOLLEN RD, BALTIMORE, MD 21212-2715
(808) 740-0838
Mailing address
614 HOLLEN RD, BALTIMORE, MD 21212-2715
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02936303
GYM
—
Enumeration date
12/27/2019
Last updated
12/27/2019
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