Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIANE G HEATLEY, MD
ActiveDIANE G HEATLEY, MD is a Pediatric Otolaryngology healthcare provider located in FITCHBURG, Wisconsin. NPI 1396793444 is currently active in the NPPES registry. Verify at CMS.
Pediatric Otolaryngology · FITCHBURG, WI
Registration Details
- NPI Number
- 1396793444
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 4, 2006 (20.304948339295 yrs)
- Last Updated
- May 25, 2021
- License
-
29448-20 (WI)
Practice Information
- Address
-
3050 BOSSHARD DRFITCHBURG, WI, 537115860Browse WI providers · Browse ZIP 53711
- Phone
- 6082730375
- Primary Specialty
-
Pediatric Otolaryngology
207YP0228X
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.