Individual
KATHERINE L HEINEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3200 GRAND AVE, DES MOINES, IA 50312-4104
(515) 271-1732
(515) 271-1697
Mailing address
3200 GRAND AVE, DES MOINES, IA 50312-4104
(515) 271-1732
(515) 271-1697
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
4455
IA
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
5101018236
MI
390200000X
Student in an Organized Health Care Education/Training Program
5101018236
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17808178909
—
IA
Enumeration date
08/25/2009
Last updated
07/23/2013
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