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1659400976
MARK H HEINICKE
LOUISVILLE, KY
NPI
1659400976
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RR0500X Internal Medicine, Rheumatology
(Licence: KY 21176)
Enumeration Date
2007-03-04
Last Update Date
2007-07-08
Business Address
Dr. MARK H HEINICKE M.D.
332 W BROADWAY STE 217
LOUISVILLE, KY 40202-2114
Phone number: 502-589-2063
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Mailing Address
Dr. MARK H HEINICKE M.D.
332 W BROADWAY STE 217
LOUISVILLE, KY 40202-2114
Phone number: 502-589-2063
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