Individual
DR. THOMAS JAMES HEINITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
211 S BOUNDARY AVE, ESSENTIA HEALTH PROCTOR CLINIC, PROCTOR, MN 55810-2306
(218) 576-0200
(218) 624-7323
Mailing address
211 S BOUNDARY AVE, ESSENTIA HEALTH PROCTOR CLINIC, PROCTOR, MN 55810-2306
(218) 576-0200
(218) 624-7323
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41634
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629022397
—
MI
05
—
1629022397
—
MN
05
—
1629022397
—
WI
Enumeration date
05/19/2006
Last updated
12/20/2011
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