Individual
DAVID JOHN HEINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
235 8TH AVE W, CRESCO, IA 52136-1062
(563) 547-2101
(563) 547-3448
Mailing address
621 S ILLINOIS AVE STE 103, MASON CITY, IA 50401-5489
(641) 428-3041
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32063
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1185207
—
IA
05
—
946717300
—
MN
Enumeration date
06/16/2005
Last updated
04/22/2024
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