Individual
RICHARD S VANDER HEIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PH.D.
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
76229
WI
207ZC0500X
Cytopathology Physician
Primary
76229
WI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
4301062679
MI
Other
Enumeration date
06/01/2006
Last updated
08/22/2024
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