Individual
DR. ROBERT DELANO HEINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 HOFFMANN DR, BETHESDA LUTHERAN HOMES AND SERVICES, WATERTOWN, WI 53094
(920) 261-3050
Mailing address
700 HOFFMANN DR, BETHESDA LUTHERAN HOMES AND SERVICES, WATERTOWN, WI 53094
(920) 262-6517
(920) 206-7704
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
15267020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30992200
—
WI
Enumeration date
09/05/2006
Last updated
07/08/2007
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