Individual
DR. JENNIFER ANNE HEIDMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1910 CALIFORNIA ST, PACE HUMBOLDT RESOURCE CENTER, EUREKA, CA 95501
(707) 443-9747
(707) 443-3204
Mailing address
PO BOX 6860, EUREKA, CA 95502-6860
(707) 443-3384
(707) 443-3204
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
73714
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A727140
—
CA
Enumeration date
09/14/2006
Last updated
04/21/2015
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