Individual
JOHN HARRISON HEILIGENSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
01043276A
IN
2084P0005X
Neurodevelopmental Disabilities Physician
Primary
01043276A
IN
2084P0804X
Child & Adolescent Psychiatry Physician
01043276A
IN
Other
Enumeration date
06/04/2012
Last updated
06/04/2012
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