Michael J Heidtman
NPI #1285213124 in Little Chute, Wisconsin
Provider Information
- NPI Number
- 1285213124
- Entity Type
- Individual
- Name
- Michael J Heidtman
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Apr 7, 2021
- Last Updated
- Apr 7, 2021
Practice Location
- Address
- 103 W GREENFIELD DR
- City
- Little Chute
- State
- Wisconsin
- ZIP Code
- 54140-1115
- Phone
- (906) 362-8544
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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