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Stephen Heidorf
NPI 1205392198 · on the registry since 2019
Practice
- Address
- 22001 Fairmount Blvd
Shaker Hts, OH 44118 - Phone
- (216) 320-8438
- Clinicians at this address
- 54
Additional practice sites
- 8411 Broadway Ave, Cleveland, OH
- 8411 Broadway Ave, Cleveland, OH
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 101YA0400X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-08-26
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 Ohio