DR. Brian David Heeren, D.C.

NPI #1750610051 in Portage, Wisconsin

Provider Information

NPI Number: 1750610051
Entity Type: Individual
Name: DR. Brian David Heeren, D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Dec 15, 2009
Last Updated: Dec 15, 2009

Practice Location

Address: 641 LATTON LN
City: Portage
State: Wisconsin
ZIP Code: 53901-1078
Phone: (608) 742-1300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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