Individual
TRAVIS M HECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-5000
(262) 434-5350
Mailing address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-5000
(262) 434-5350
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2015-01387
NC
207L00000X
Anesthesiology Physician
Primary
2537
WI
207LP2900X
Pain Medicine (Anesthesiology) Physician
2015-01387
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699979518
—
WI
01
—
K400380202
MEDICARE
WI
01
—
NCP693B
MEDICARE PTAN
NC
01
—
NCP693C
MEDICARE PTAN
NC
01
—
NCP693D
MEDICARE PTAN
NC
01
—
NCP693E
MEDICARE PTAN
NC
Enumeration date
06/13/2007
Last updated
01/15/2020
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