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Individual

MR. GEORGE HEIDRICH III

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
5014 PICCADILLY DR, MADISON, WI 53714-2014
(608) 235-1766
Mailing address
5014 PICCADILLY DR, MADISON, WI 53714-2014
(608) 235-1766

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
77912
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
398600
WI
Enumeration date
05/19/2006
Last updated
07/21/2022
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