Individual
EARL JOSEPH HELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
53880 CARMICHAEL DR, SOUTH BEND, IN 46635-1567
(574) 247-9441
(574) 247-9442
Mailing address
53880 CARMICHAEL DR, SOUTH BEND, IN 46635-1567
(574) 247-9441
(574) 247-9442
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01023798
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100350700A
—
IN
Enumeration date
08/20/2006
Last updated
04/09/2008
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