Individual
HEIDI J TOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
10625 W NORTH AVE, SUITE 102, MILWAUKEE, WI 53226-2315
(414) 877-5350
(414) 877-5360
Mailing address
10625 W NORTH AVE, SUITE 102, MILWAUKEE, WI 53226-2315
(414) 877-5350
(414) 877-5360
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1296-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42996000
—
WI
01
—
909
BCBS
WI
Enumeration date
07/05/2006
Last updated
04/21/2017
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