Individual
MAX HECKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSW
Contact information
Practice address
1407 SAINT ANDREW ST STE 100, LA CROSSE, WI 54603-2378
(608) 785-6388
Mailing address
E1347 STRATTON LAKE RD, WAUPACA, WI 54981-9462
(608) 780-1621
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
8978-120
WI
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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