Individual
MR. MARTIN R HEVESY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-2000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9126
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100086306
—
WI
Enumeration date
06/03/2015
Last updated
03/13/2025
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