Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 39199 | WI |
Y | 111NI0900X | Internist | 39199 | WI |
N | 207RH0002X | Hospice and Palliative Medicine | 39199 | WI |
NPI | 1306840988 |
---|---|
Provider Name | Rhonda L Heun |
First Address | Rochester, MN 55905-0002 |
Second Address | La Crosse, WI 54601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2005 |
Last Update Date | 15/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G62365 | (02) |