Individual
EDWARD B HEIMSTREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
812 N MAIN ST, LAKE MILLS, WI 53551-1117
(920) 648-5187
(920) 648-5976
Mailing address
812 N MAIN ST, LAKE MILLS, WI 53551-1117
(920) 648-5187
(920) 648-5976
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10454-040
WI
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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