Individual
MRS. HEATHER MARIE DEDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2700 W NORFOLK AVE, NORFOLK, NE 68701-4438
(402) 644-7543
(402) 644-7503
Mailing address
2700 W NORFOLK AVE, NORFOLK, NE 68701-4438
(402) 644-7543
(402) 644-7503
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1449
NE
Other
Enumeration date
08/27/2009
Last updated
06/14/2011
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