Individual
CHRISTIAN G. HEINIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 SOUTH ST, HARRINGTON MEMORIAL HOSPITAL, SOUTHBRIDGE, MA 01550-4051
(508) 765-9771
(508) 764-2448
Mailing address
PO BOX 40, SOUTHBRIDGE, MA 01550-0040
(508) 909-7799
(508) 764-2432
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
220657
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2070600
—
MA
Enumeration date
02/27/2006
Last updated
06/12/2015
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