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Individual

DR. MARK D HEIBEL

Active
Find providers by NPI
Individual

DR. MARK D HEIBEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
18056
NE
207ND0101X
MOHS-Micrographic Surgery Physician
18056
NE
207ND0900X
Dermatopathology Physician
18056
NE
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
18056
NE
207NP0225X
Pediatric Dermatology Physician
18056
NE
207NS0135X
Procedural Dermatology Physician
18056
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
070016194
PALMETTO-RAILROAD MEDICAR
NE
01
35672
BLUE CROSS BLUE SHIELD
NE
05
39203650100
NE
Enumeration date
10/20/2005
Last updated
10/15/2014
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