Individual
DR. CHAD G VANDEN HEUVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
975 PORT WASHINGTON RD, GRAFTON, WI 53024-9201
(262) 329-1000
(262) 329-1001
Mailing address
975 PORT WASHINGTON RD, GRAFTON, WI 53024-9201
(262) 329-1000
(262) 329-1001
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
39605-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467436444
—
WI
Enumeration date
12/02/2005
Last updated
09/16/2024
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