Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GLEN JOSEPH HEINZL, MD
ActiveDR. GLEN JOSEPH HEINZL, MD is a Family Medicine healthcare provider located in NEW LISBON, Wisconsin. NPI 1356495444 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · NEW LISBON, WI
Registration Details
- NPI Number
- 1356495444
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 23, 2007 (19.557705953049 yrs)
- Last Updated
- Jul 8, 2007
- License
-
22801 (WI)
Practice Information
- Address
-
2000 PROGRESS DRIVENEW LISBON, WI, 539502000Browse WI providers · Browse ZIP 53950
- Phone
- 6085626400
- Fax
- 6085627382
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in NEW LISBON, WI
| Name | Credential | NPI |
|---|---|---|
| TIMOTHY R. HINTON | M.D. | 1437149598 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.