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Individual

DR. WAYNE FRANCIS HEIDENREICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
720 E WISCONSIN AVE, MILWAUKEE, WI 53202-4703
(414) 661-4990
(414) 661-3915
Mailing address
720 E WISCONSIN AVE, MILWAUKEE, WI 53202-4703
(414) 661-4990
(414) 661-3915

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29637-20
WI

Other

Enumeration date
05/21/2012
Last updated
05/21/2012
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