Individual
BLAKE ANTHONY HEINZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
815 1ST AVE SE, SUITE 104, ABERDEEN, SD 57401-4602
(605) 622-5458
(605) 622-5473
Mailing address
PO BOX 1460, ABERDEEN, SD 57402-1460
(605) 622-2857
(605) 622-2859
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9584
SD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2012
Last updated
08/12/2015
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