DR. Heidi Christine Memmel Mitidiero, MD

NPI #1184679193 in Lake Forest, Illinois

Provider Information

NPI Number: 1184679193
Entity Type: Individual
Name: DR. Heidi Christine Memmel Mitidiero, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: MD
Enumeration Date: May 24, 2006
Last Updated: Aug 11, 2023

Practice Location

Address: 1000 N WESTMORELAND RD
City: Lake Forest
State: Illinois
ZIP Code: 60045-1658
Phone: (847) 582-2134

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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