Individual
MR. MARK HEIMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6001 SW 6TH AVE. SUITE 200, TOPEKA, KS 66615
(785) 233-7491
(785) 233-2564
Mailing address
6001 SW 6TH AVE. SUITE 200, TOPEKA, KS 66615
(785) 233-7491
(785) 233-2564
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1500401
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100340740A
—
KS
Enumeration date
09/15/2005
Last updated
05/23/2024
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