Individual
MATTHEW OWEN HEISEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-3885
Mailing address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431-0001
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25968
NE
2080P0206X
Pediatric Gastroenterology Physician
Primary
25968
NE
Other
Enumeration date
05/01/2009
Last updated
07/27/2021
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