Individual
DR. SAMUEL RODNEY HEISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
355 WESTFIELD RD, STE 120, NOBLESVILLE, IN 46060-1443
(317) 776-8748
(317) 773-0314
Mailing address
PO BOX 843022, KANSAS CITY, MO 64184-3022
(317) 770-6900
(317) 770-6911
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01040362A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100127010A
—
IN
Enumeration date
10/03/2006
Last updated
10/08/2024
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