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Jack Heidenreich, MD
NPI 1316944374 · on the registry since 2005
Practice
- Address
- 111 Acadia Drive
Raceland, LA 70394 - Phone
- (985) 537-7575
- Fax
- (985) 537-7584
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-08-23
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 Louisiana