MEDICARE: HEATHER L TOTMAN AU.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
1	237600000X	Audiologist-Hearing Aid Fitter	494156	WI

General Provider Information

NPI Number	:	1699791285
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER L TOTMAN AU.D.

Provider Business Mailing Address
First Line	:	2107 YAHARA CIR
Second Line	:
City	:	DE PERE
State	:	WI
Zip	:	54115-4154
Country	:	US
Telephone Number	:	920-241-2339
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 S BROADWAY
Second Line	:
City	:	GREEN BAY
State	:	WI
Zip	:	54303-1516
Country	:	US
Telephone Number	:	920-448-2000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2006
Last Update Date	:	01/22/2026

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Directions to “ HEATHER L TOTMAN AU.D.” Practice Location

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