Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0120X | Pediatric Surgery | 35.134297 | OH |
NPI | 1316189574 |
---|---|
Provider Name | Nathan Paul Heinzerling |
First Address | Akron, OH 44308-1063 |
Second Address | Akron, OH 44308 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2009 |
Last Update Date | 20/11/2020 |