Individual
RICHARD S VANDER HEIDE
Active
Individual
RICHARD S VANDER HEIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PH.D.
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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