Individual
HEIDI S WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1777 W GRAND AVE, PORT WASHINGTON, WI 53074-2077
(262) 268-6603
Mailing address
12500 W BLUEMOUND RD, ELM GROVE, WI 53122-2600
(262) 787-2114
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9032
WI
Other
Enumeration date
04/12/2011
Last updated
11/23/2021
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