GREGORY WADE HEINICKE

SACRAMENTO, CA
NPI1295267987
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: WA  op61040693)
Enumeration Date2017-03-31
Last Update Date2022-07-20
Business Address
GREGORY WADE HEINICKE D.O.
2315 STOCKTON BLVD
SACRAMENTO, CA 95817-2201
Phone number: 916-734-8230
Mailing Address
GREGORY WADE HEINICKE D.O.
2315 STOCKTON BLVD
SACRAMENTO, CA 95817-2201
Phone number: 916-734-8230