Provider Demographics
NPI:1871531731
Name:HEUERMANN, ROBERT P (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:P
Last Name:HEUERMANN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:109 COOSA ST E
Mailing Address - Street 2:SUITE B
Mailing Address - City:TALLADEGA
Mailing Address - State:AL
Mailing Address - Zip Code:35160-2154
Mailing Address - Country:US
Mailing Address - Phone:256-761-0921
Mailing Address - Fax:256-761-0947
Practice Address - Street 1:109 COOSA ST E
Practice Address - Street 2:SUITE B
Practice Address - City:TALLADEGA
Practice Address - State:AL
Practice Address - Zip Code:35160-2154
Practice Address - Country:US
Practice Address - Phone:256-761-0921
Practice Address - Fax:256-761-0947
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2015-09-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL26018208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051557577Medicaid
AL510-03653OtherBCBS
AL051557577HEUMedicare PIN
AL510-03653OtherBCBS
AL051557577Medicaid