Individual
MR. ROBERT J HEISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BC-HIS
Contact information
Practice address
754 N COURT ST UNIT B, MEDINA, OH 44256-1761
(330) 725-3259
Mailing address
754 N COURT ST UNIT B, MEDINA, OH 44256-1761
(330) 725-3259
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2155
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000241592
BCBS PROVIDER NUMBER
OH
05
—
0236846
—
OH
Enumeration date
01/22/2007
Last updated
07/09/2007
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