Individual
DR. ANDREW DUNSMORE HEINZELMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3317 N WIMBERLY DR, FAYETTEVILLE, AR 72703-4056
(479) 521-2752
(479) 444-6942
Mailing address
3317 N WIMBERLY DR, FAYETTEVILLE, AR 72703-4056
(479) 587-3149
(479) 521-4603
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
19708
MS
207X00000X
Orthopaedic Surgery Physician
E-4659
AR
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
E-4659
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08070023900
QUALCHOICE
AR
05
—
168677001
—
AZ
01
—
5H114
BLUE CROSS BLUE CHEILD
AR
Enumeration date
03/29/2007
Last updated
05/17/2023
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