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NPI 1548279896

NPI 1548279896 : CHRISTINE A HEISLER M.D. : EAU CLAIRE, WI

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General NPI Number Information
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    NPI Number           |    1548279896
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTINE A HEISLER M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/05/2006
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    Last Update Date     |    11/19/2025
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Provider Practice Location Address
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    Address Line         |    1400 BELLINGER STREET 
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    City                 |    EAU CLAIRE
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    State                |    WI
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    Zip                  |    54703-5222
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    Country              |    US
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    Telephone            |    715-838-5222
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 860912 PROVIDER ENROLLMENT
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    City                 |    MINNEAPOLIS
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    State                |    MN
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    Zip                  |    55486-0912
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    Country              |    US
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    Telephone            |    507-284-2511
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    65314
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    License Number State |    WI
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Taxonomy #2
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    Taxonomy Code        |    207VF0040X
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    Taxonomy Name        |    Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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    License Number       |    65314
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    License Number State |    WI
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Taxonomy #3
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    Taxonomy Code        |    207VG0400X
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    Taxonomy Name        |    Gynecology Physician
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    License Number       |    65314
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    License Number State |    WI
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