Individual
DR. STEPHEN J HEANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
W180N8085 TOWN HALL RD, DEPT OF ANESTHESIOLOGY, MENOMONEE FALLS, WI 53051-3518
(262) 251-1000
Mailing address
W180N8085 TOWN HALL RD, DEPT OF ANESTHESIOLOGY, MENOMONEE FALLS, WI 53051-3518
(262) 251-1000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
32732-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477536282
—
WI
Enumeration date
11/25/2005
Last updated
12/16/2014
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