Heartland Spine, LLC

NPI #1144478330 in Marion, Illinois

Provider Information

NPI Number: 1144478330
Entity Type: Organization
Organization Name: Heartland Spine, LLC
Primary Specialty: Neurological Surgery
Enumeration Date: Sep 3, 2008
Last Updated: Sep 3, 2008

Practice Location

Address: 3905 W ERNESTINE DR
City: Marion
State: Illinois
ZIP Code: 62959-5800
Phone: (573) 331-5761

Authorized Official

Name: FRANKLIN HAYWARD II, D.O.
Title: PRESIDENT
Phone: (573) 331-5761

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Neurological Surgery	207T00000X	Primary

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