Individual
BRANDON J HEEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2605 N LEBANON ST, LEBANON, IN 46052-1476
(765) 485-8000
(765) 485-8009
Mailing address
2605 N LEBANON ST, LEBANON, IN 46052-1476
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
207R00000X
Internal Medicine Physician
02006583A
IN
207R00000X
Internal Medicine Physician
OS17233
FL
208M00000X
Hospitalist Physician
Primary
02006583A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300063382
—
IN
Enumeration date
03/12/2015
Last updated
05/08/2023
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