Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | D0035230 | MD |
NPI | 1013970748 |
---|---|
Provider Name | Dr. Richard F. Heitmiller |
First Address | Baltimore, MD 21218-2867 |
Second Address | Baltimore, MD 21218-2867 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C48860 | (02) |