Amanda Heidemann, MD Valid NPI
Individual provider · Family Medicine Physician · O Fallon, MO
- NPI
- 1043329105
- Type
- Individual (Type 1)
- Primary specialty
- Family Medicine Physician (Family Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207Q00000X
- License number
- 2002002039 (MO)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-08-30
- Last updated
- 2012-02-20
Practice location
2630 Highway K
O Fallon, MO 63368-6624
(636) 980-5300