Individual
ANGELA MARIE HEINKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2601 FIELDCREST DR, KAUKAUNA, WI 54130-4523
(920) 462-6100
Mailing address
2601 FIELDCREST DR, KAUKAUNA, WI 54130-4523
(920) 462-6100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4210
WI
363AM0700X
Medical Physician Assistant
Primary
4210
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100071560
—
WI
Enumeration date
09/17/2017
Last updated
11/03/2023
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