Amanda Heidemann, MD

NPI #1043329105 in O Fallon, Missouri

Provider Information

NPI Number: 1043329105
Entity Type: Individual
Name: Amanda Heidemann, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Aug 30, 2006
Last Updated: Feb 20, 2012

Practice Location

Address: 2630 HIGHWAY K
City: O Fallon
State: Missouri
ZIP Code: 63368-6624
Phone: (636) 980-5300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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