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Organization

GAHANNA PEDIATRICS, LLC

Active
Other names
Daniel J Heinmiller MD
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHERI M KELSEY (OFFICE MANAGER)
(614) 933-0980
Entity
Organization

Contact information

Practice address
470 SILVER LANE, SUITE B, GAHANNA, OH 43230
(614) 933-0980
(614) 933-0334
Mailing address
470 SILVER LANE, SUITE B, GAHANNA, OH 43230
(614) 933-0980
(614) 933-0334

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2140150
OH
Enumeration date
11/14/2006
Last updated
10/09/2012
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