JACK HEIDENREICH, MD
Family Medicine
Active
Individual
NPI: 1316944374
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | MD.020478 (LA) |
Frequently Asked Questions
NPI 1316944374 is the National Provider Identifier for JACK HEIDENREICH, MD, a Family Medicine provider located in Raceland, LA. This NPI was enumerated on July 6, 2005.
JACK HEIDENREICH, MD practices at 111 ACADIA DRIVE, Raceland, LA 70394.
Quick Facts
- NPI
- 1316944374
- Type
- Individual
- Enumerated
- Jul 6, 2005
- Last Updated
- Aug 23, 2010
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