Individual
CALEB JOSEPH HEINRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
W231N1440 CORPORATE CT, WAUKESHA, WI 53186-1503
(262) 896-6000
(262) 896-3921
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5588
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100181565
—
WI
Enumeration date
05/26/2021
Last updated
08/28/2024
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