| NPI | 1063950046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH HEINRICH President/Owner 373-609-1221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 208M00000X Hospitalist | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2025-11-12 |