Individual
MRS. VERONICA ANN HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
0010-00633
NC
363AM0700X
Medical Physician Assistant
Primary
3079
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841397767
—
NC
01
—
P00456682
RAILROAD MEDICARE
NC
Enumeration date
09/20/2006
Last updated
04/29/2015
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