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Dr. Gregory Mark Heideman, MD
Diagnostic Radiology Physician in St Francis, Wisconsin
NPI 1295820546

Gregory Mark Heideman is a Diagnostic Radiology Physician based in Chicago, WI and is specialized in Diagnostic Radiology. Gregory Mark Heideman practices in St Francis, WI and has the professional credentials of MD. The NPI Number for Gregory Mark Heideman is 1295820546 and holds a License No. 49522-020 (Wisconsin).

The current practice location address for Gregory Mark Heideman is 2000 E Layton Ave, St Francis, WI and can be reached out via phone at 414-744-6589.

Location: 2000 E Layton Ave, St Francis, WI, 60673-5044
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295820546
Provider Name
Gregory Mark Heideman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2000 E Layton Ave, St Francis, WI, 60673-5044
Phone Number
414-744-6589
Fax Number
Provider Enumeration Date
10/03/2006
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100008514 05 WI
institution
Provider Business Practice Location Address Details
Address
2000 E Layton Ave
City
St Francis
State
Wisconsin
Zip
53235-6053
Phone Number
414-744-6589
Fax Number
person
Provider Business Mailing Address Details
Address
2000 E Layton Ave
City
St Francis
State
Wisconsin
Zip
53235-6053
Phone Number
414-744-6589
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
49522-020 (Wisconsin)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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