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Individual

DR. TODD A HEITKAMP

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
19 S PERRY ST, VANDALIA, OH 45377-2120
(937) 898-3449
Mailing address
19 S PERRY ST, VANDALIA, OH 45377-2120
(937) 898-3449

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2180
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2370036
OH
Enumeration date
04/04/2006
Last updated
07/09/2007
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