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Individual

DR. JUSTIN DANIEL HEISTAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(425) 502-4120
Mailing address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(425) 502-4120

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD 60217230
WA
208000000X
Pediatrics Physician
Primary
ML60019739
WA

Other

Enumeration date
07/02/2008
Last updated
04/13/2021
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