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NPI Code Detail

MEDICARE: DR. ANNE T HEINRICH

MEDICARE:  DR. ANNE T HEINRICH
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
11223G0001XGeneral Practice Dentistry6454-15WI

General Provider Information

NPI Number : 1518115187
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANNE T HEINRICH
Provider Business Mailing Address
First Line : W183N9609 APPLETON AVE
Second Line :
City : GERMANTOWN
State : WI
Zip : 53022-4501
Country : US
Telephone Number : 262-677-3700
Fax Number :
Provider Business Practice Location Address
First Line : W183N9609 APPLETON AVE
Second Line :
City : GERMANTOWN
State : WI
Zip : 53022-4501
Country : US
Telephone Number : 262-677-3700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2008
Last Update Date : 01/30/2017

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Directions to “ DR. ANNE T HEINRICH ” Practice Location

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