Organization
BRIAN J. HEINEMAN, D.O.
Active
Other names
Brooklyn Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN J HEINEMAN DO (OWNER)
(641) 522-7221
Entity
Organization
Contact information
Practice address
128 JACKSON STREET, BROOKLYN, IA 52211
(641) 522-7221
(641) 522-5816
Mailing address
PO BOX 527, BROOKLYN, IA 52211-0527
(641) 522-7221
(641) 522-5816
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0415489
—
IA
01
—
CJ6924
RAIRLROAD MEDICARE GROUP
IA
Enumeration date
02/28/2007
Last updated
01/28/2010
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