Individual
HEIDI LEIGH VAN MAANEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
920 N QUINCY AVE, OTTUMWA, IA 52501-3866
(641) 455-5200
(641) 455-5150
Mailing address
920 N QUINCY AVE, OTTUMWA, IA 52501-3866
(641) 455-5200
(641) 455-5150
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4350
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4350
STATE LICENSE
IA
Enumeration date
06/09/2010
Last updated
08/31/2022
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