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Organization

LOUSVILLE UROGYNECOLOGY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL HOWARD HEIT M.D., PHD (OWNER/PRESIDENT)
(502) 895-0557
Entity
Organization

Contact information

Practice address
4121 DUTCHMANS LN, SUITE 401, LOUISVILLE, KY 40207-4707
(502) 895-0557
(502) 895-0579
Mailing address
PO BOX 950188, LOUISVILLE, KY 40295-0188
(502) 895-0557
(502) 895-0579

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
30391
KY
207VG0400X
Gynecology Physician
30391
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100116270
KY
Enumeration date
04/08/2010
Last updated
09/02/2011
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