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1114227857
NICHOLAS JAMES HEEZEN
GREEN BAY, WI
NPI
1114227857
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WI 57651)
Enumeration Date
2010-10-28
Last Update Date
2023-12-11
Business Address
NICHOLAS JAMES HEEZEN D.O.
2253 W MASON ST SUITE 200
GREEN BAY, WI 54303-4706
Phone number: 920-327-7300
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Mailing Address
NICHOLAS JAMES HEEZEN D.O.
PO BOX 73544
CHICAGO, IL 60673-7544
Phone number:
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