Individual
JOSEPH D HECKENKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
845 PARKSIDE ST, RIPON, WI 54971-8505
(920) 745-3500
(920) 745-7930
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8340
(920) 926-8370
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2061
WI
Other
Enumeration date
10/10/2006
Last updated
07/21/2022
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