Individual
DAVID HEIDELBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
3700 KOLBE RD, LORAIN, OH 44053-1611
(440) 960-4000
Mailing address
5001 PINEVIEW DR, VERMILION, OH 44089-1646
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14014
OH
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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