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Individual

BRANDI LEIGH HEINZ

Active
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Individual

BRANDI LEIGH HEINZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-143633
OH
207R00000X
Internal Medicine Physician
Primary
76366
MN
208000000X
Pediatrics Physician
35-143633
OH
208000000X
Pediatrics Physician
76366
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0020769
OH
Enumeration date
03/22/2019
Last updated
08/09/2024
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