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Individual

BRIAN T HEIMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4101 TECHNOLOGY AVE STE 440, NEW ALBANY, IN 47150-8548
(812) 941-4500
Mailing address
4101 TECHNOLOGY AVE STE 440, NEW ALBANY, IN 47150-8548
(812) 941-4500

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01052963A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200274680A
IN
Enumeration date
09/09/2005
Last updated
03/21/2021
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