| NPI | 1679845390 |
|---|---|
| Doing Business As | JAKE P. HEINEY MD |
| Entity Type | Organization |
| Authorized Contact | AMY L BAHNSEN Credentialing Supervisor 419-824-7334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2012-01-27 |