GLEN HEISE

HARRISBURG, PA
NPI1972596955
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: PA  MD029515E)
Enumeration Date2005-08-25
Last Update Date2007-07-08
Business Address
Dr. GLEN HEISE M.D.
2 S 21ST ST
HARRISBURG, PA 17104-1314
Phone number: 717-238-1513
Mailing Address
Dr. GLEN HEISE M.D.
2 S 21ST ST
HARRISBURG, PA 17104-1314
Phone number: 717-238-1513
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