Individual
DR. TIMOTHY D HEITMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W LOOMIS RD, #104, FRANKLIN, WI 53132-9621
(414) 529-9349
(414) 529-9348
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 647-6326
(414) 671-8860
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25289
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30815900
—
WI
Enumeration date
08/23/2006
Last updated
03/07/2023
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