Search › Wisconsin › 207L00000X
John Heisdorf, M.D
NPI 1821071630 · on the registry since 2005
Practice
- Address
- 3200 Pleasant Valley Rd
West Bend, WI 53095 - Phone
- (262) 836-7060
- Organisation at this address
- West Bend Clinic, Inc.
Washington County Wisconsin
Froedtert Health Pharmacy Llc
Kettle Moraine Anesthesiology Inc
Diagnostic Services Of Washington County ScInferred from a shared address, not stated in the registry. - Clinicians at this address
- 99
Registry record
- Primary taxonomy
- 207L00000X
207L00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-06-21
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