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Individual

JAMES K HEYERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
900 E BROADWAY AVE, BISMARCK, ND 58501-4520
(701) 530-7000
(701) 530-8842
Mailing address
900 E BROADWAY AVENUE, P.O. BOX 5510, BISMARCK, ND 58506-5510
(701) 530-7000
(701) 530-8842

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R16124
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
12457
ND
Enumeration date
01/19/2007
Last updated
07/02/2010
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