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1871549485

NPI Code Detail

MEDICARE: DR. GRETCHEN A HEINRICHS MD

MEDICARE: DR. GRETCHEN A HEINRICHS MD

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	207V00000X	Obstetrics & Gynecology Physician	195326	AK
2	207V00000X	Obstetrics & Gynecology Physician	MD2022-1218	NM
3	207V00000X	Obstetrics & Gynecology Physician	MD61517861	WA
4	207V00000X	Obstetrics & Gynecology Physician	67156	AZ
5	207V00000X	Obstetrics & Gynecology Physician	44667	CO

Other Identifiers

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

General Provider Information

NPI Number	:	1871549485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GRETCHEN A HEINRICHS MD

Provider Business Mailing Address
First Line	:	8987 E TANQUE VERDE RD
Second Line	:	STE 309, #2002
City	:	TUCSON
State	:	AZ
Zip	:	85749
Country	:	US
Telephone Number	:	303-912-4159
Fax Number	:

Provider Business Practice Location Address
First Line	:	433 E 8TH ST
Second Line	:
City	:	PORT ANGELES
State	:	WA
Zip	:	98362-6219
Country	:	US
Telephone Number	:	360-565-0999
Fax Number	:	360-452-7303

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

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	09/24/2024

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Directions to “ DR. GRETCHEN A HEINRICHS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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