Individual
DR. JONATHAN EDWARD HEINLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 NE 10TH ST STE 5F, OKLAHOMA CITY, OK 73104-5417
(405) 271-8156
Mailing address
920 STANTON L YOUNG BLVD STE 3150, OKLAHOMA CITY, OK 73104-5036
(405) 271-6900
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
25642
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200171740B
—
OK
Enumeration date
06/21/2007
Last updated
12/17/2018
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