Individual
FREDERICK WILLIAM HEINEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17876 SAINT CLAIR AVE, CLEVELAND, OH 44110-2602
(800) 707-8922
Mailing address
17876 ST. CLAIR AVE., CLEVELAND, OH 44110
(800) 707-8922
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
35.127503
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0154453
—
OH
01
—
041017
ANTHEM
ME
05
—
232980099
—
ME
Enumeration date
08/31/2005
Last updated
01/26/2016
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