Individual
MS. GAIL M. HEINECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
6800 N 76TH ST, MILWAUKEE, WI 53223-5002
(414) 353-5000
Mailing address
581 KREUSER RDG, COLGATE, WI 53017-9793
(262) 628-1712
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1857-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40011900
—
WI
Enumeration date
11/28/2006
Last updated
07/09/2007
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