Healthcare Provider Details

I. General information

NPI: 1699791285
Provider Name (Legal Business Name): HEATHER L TOTMAN AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 12/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1520 N MEADE ST
APPLETON WI
54911-3762
US

IV. Provider business mailing address

3331 OAK AVE
STEVENS POINT WI
54481-5553
US

V. Phone/Fax

Practice location:
  • Phone: 920-734-7181
  • Fax: 920-734-0621
Mailing address:
  • Phone: 715-342-3478
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number494156
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: