Individual
KURT HEINTZELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16 W LONG ST, COLUMBUS, OH 43215-2815
(614) 225-0980
(614) 225-0991
Mailing address
8100 RAVINES EDGE CT, STE 200, COLUMBUS, OH 43235-5426
(614) 225-0980
(614) 225-0991
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35079095
OH
Other
Enumeration date
01/26/2010
Last updated
08/23/2019
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