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NPI Code Detail

MEDICARE: DR. HEIDI M DUNNIWAY M.D.

MEDICARE: DR. HEIDI M DUNNIWAY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology Physician01050112AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053478495
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HEIDI M DUNNIWAY M.D.
Provider Business Mailing Address
First Line : PO BOX 13059
Second Line :
City : BELFAST
State : ME
Zip : 04915-4021
Country : US
Telephone Number : 812-485-1220
Fax Number :
Provider Business Practice Location Address
First Line : 1116 MILLIS AVE
Second Line :
City : BOONVILLE
State : IN
Zip : 47601-2204
Country : US
Telephone Number : 812-485-1400
Fax Number : 812-485-1401
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2007
Last Update Date : 03/23/2016

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