Individual
DR. GEOFFREY W HEINRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2300 N MAYFAIR RD, #245, WAUWATOSA, WI 53226-1505
(414) 257-3103
(414) 476-0037
Mailing address
2300 N MAYFAIR RD, #245, WAUWATOSA, WI 53226-1505
(414) 257-3103
(414) 476-0037
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
5001176
WI
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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