Individual
ANGELEA HEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
22559
WI
207R00000X
Internal Medicine Physician
4301115391
MI
208000000X
Pediatrics Physician
4301115391
MI
208M00000X
Hospitalist Physician
Primary
22559
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100211565
—
WI
Enumeration date
06/22/2018
Last updated
08/25/2025
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