| Heritage Medical Group Llc | |
|
501 N Knik St Wasilla AK 99654-7050 | |
| (907) 232-8545 | |
| Not Available |
| Full Name | Heritage Medical Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 501 N Knik St, Wasilla, Alaska |
| Authorized Official Name and Position | John Zipperer (MANAGER) |
| Authorized Official Contact | 9072328545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Medical Group Llc 501 N Knik St Wasilla AK 99654-7050 Ph: (907) 232-8545 | Heritage Medical Group Llc 501 N Knik St Wasilla AK 99654-7050 Ph: (907) 232-8545 |
| NPI Number | 1962705202 |
|---|---|
| Provider Enumeration Date | 12/08/2010 |
| Last Update Date | 12/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962705202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 6922 (Alaska) | Primary |
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