Individual
MARTIN HEISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 HOYT AVE, EVERETT, WA 98201-4918
(425) 339-5411
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 258-3900
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
39996
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021033
—
WA
Enumeration date
04/20/2006
Last updated
12/11/2012
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