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Kenneth Heidle, D.O
NPI 1083059604 · on the registry since 2013
Practice
- Address
- 9555 76th St
Pleasant Prairie, WI 53158 - Phone
- (414) 290-6720
- Fax
- (414) 290-6755
- Organisation at this address
- Uropartners, Llc
Ihc Hospitalists Llc
Ihc Hospitalists Llc
Froedtert South, Inc.
Great Lakes DermatologyInferred from a shared address, not stated in the registry. - Clinicians at this address
- 73
Additional practice sites
- 232 W 25th St, Erie, PA
- 6308 8th Ave, Kenosha, WI
Registry record
- Primary taxonomy
- Emergency Medicine Physician
207P00000X
- Also registered as
- Emergency Medicine Physician
- Licence states on file
- PA, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-12-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin