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Individual

WILLIAM HETH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1400 BELLINGER ST, EAU CLAIRE, WI 54703-5222
(715) 838-5222
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(715) 838-5222

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
30220
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31501800
WI
Enumeration date
01/09/2006
Last updated
04/10/2009
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