Individual
STEPHEN EDWARD HEINZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
52 MEDICAL PARK DR E STE 308, BIRMINGHAM, AL 35235-3433
(205) 838-3025
(205) 838-3897
Mailing address
52 MEDICAL PARK DR E, SUITE NUMBER 308, BIRMINGHAM, AL 35235-3430
(205) 838-3025
(205) 838-3897
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
00020932
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000076986
—
AL
01
—
051076986
BLUE CROSS BLUE SHIELD
AL
01
—
17-10068
UNITED HEALTHCARE
AL
01
—
F63076
VIVA
AL
Enumeration date
08/25/2006
Last updated
02/18/2022
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