KENNETH J HEIDLE, D.O.
Osteopathic Medicine at 76 St, Kenosha, WI

License number
Wisconsin OT015080
Category
Osteopathic Medicine
Type
Emergency Medicine
License number
Wisconsin 67107-21
Category
Osteopathic Medicine
Type
Emergency Medicine
Address
Address 2
9555 76Th St, Kenosha, WI 53158
111 E Wisconsin Ave STE 2000, Milwaukee, WI 53202
Phone
(414) 290-6720
(414) 290-6755 (Fax)
National Provider ID: 1083059604
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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