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Individual

ALISON C HEIDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2920 S MCINTIRE DR STE 103, BLOOMINGTON, IN 47403-4213
(812) 353-2870
(812) 353-2881
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01074377A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201248460
IN
Enumeration date
07/16/2008
Last updated
10/05/2022
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