Individual
DR. DREW MICHAEL HEIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2635 W DOUGLAS AVE, WICHITA, KS 67213-2605
(316) 942-7496
Mailing address
2635 W DOUGLAS AVE, WICHITA, KS 67213-2605
(316) 942-7496
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1981
KS
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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