Heritage Medical Group LLC

NPI #1962705202 in Wasilla, Alaska

Provider Information

NPI Number: 1962705202
Entity Type: Organization
Organization Name: Heritage Medical Group LLC
Primary Specialty: Internal Medicine
Enumeration Date: Dec 8, 2010
Last Updated: Dec 13, 2010

Practice Location

Address: 501 N KNIK ST
City: Wasilla
State: Alaska
ZIP Code: 99654-7050
Phone: (907) 232-8545

Authorized Official

Name: DR. JOHN ZIPPERER JR., MD
Title: MANAGER
Phone: (907) 232-8545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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