Kenneth J Heidle, D.O.
NPI #1083059604 in Pleasant Prairie, Wisconsin
Provider Information
- NPI Number
- 1083059604
- Entity Type
- Individual
- Name
- Kenneth J Heidle, D.O.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Emergency Medicine
- Credential
- D.O.
- Enumeration Date
- May 9, 2013
- Last Updated
- Dec 28, 2021
Practice Location
- Address
- 9555 76TH ST
- City
- Pleasant Prairie
- State
- Wisconsin
- ZIP Code
- 53158-1984
- Phone
- (414) 290-6720
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medicine |
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