Individual
PETER D HEIMDAHL II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2424 MONETARY BLVD STE 12, HUDSON, WI 54016-8736
(617) 785-6141
Mailing address
871 ALEX LN, HUDSON, WI 54016-7961
(617) 785-6141
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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