Individual provider · Type 1 NPI

Kenneth J. Heidle, DO

Emergency Medicine Physician · Pleasant Prairie, WI

NPI number 1083059604 Active

Practice location

9555 76th St
Pleasant Prairie, WI 53158-1984

Call (414) 290-6720 Map

Fax (414) 290-6755

Mailing address

111 E Wisconsin Ave Ste 2000
Milwaukee, WI 53202-4809

Other practice locations

  • 232 W 25th St, Erie, PA 16544-0002 · (814) 452-5000
  • 6308 8th Ave, Kenosha, WI 53143-5031 · (414) 290-6720

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000XOT015080 (PA)
Emergency Medicine Physician Primary 207P00000X67107-21 (WI)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

63 other providers at this address

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About NPI 1083059604

Kenneth J. Heidle, DO's National Provider Identifier is 1083059604, issued on May 9, 2013. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Pleasant Prairie, WI. The record was last updated on Dec 28, 2021.