Individual
DR. PAUL F HEYSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 E APPLE ST STE 6252, DAYTON, OH 45409-2939
(937) 208-6060
(937) 208-6061
Mailing address
4649 SCHRUBB DR, KETTERING, OH 45429-1984
(937) 296-0300
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35043188
OH
2086S0129X
Vascular Surgery Physician
35043188H
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0420413
—
OH
Enumeration date
06/01/2005
Last updated
02/09/2012
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