Individual
HEATHER MARIE HEIBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1650 S 41ST ST, MANITOWOC, WI 54220-7316
(920) 320-2346
Mailing address
W3910 SHADY LN, CHILTON, WI 53014-9763
(920) 509-9432
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
8458-23
WI
Other
Enumeration date
06/20/2023
Last updated
07/08/2025
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