Individual
CAROL JEAN HEITZKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5618 ODANA RD, MADISON, WI 53719-1208
(608) 274-1100
(608) 274-0310
Mailing address
7974 UW HEALTH COURT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1847-023
WI
Other
Enumeration date
10/02/2006
Last updated
05/01/2009
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