National Provider Identifier
Gerrit W Heetderks, MD
Gerrit W Heetderks, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Trumansburg, NY and a listed phone number of (607) 387-5707.
Profile Overview
- NPI
- 1740546746
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- April 04, 2012
- Last Updated
- June 26, 2015
Practice Location
- 4435 Seneca RD
- Trumansburg, NY 14886-9201
Phone: (607) 387-5707
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1740546746
- Entity Type
- Individual
- Last Name
- Heetderks
- First Name
- Gerrit
- Middle Name
- W
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 4435 Seneca RD
- Mailing City
- Trumansburg
- Mailing State
- NY
- Mailing ZIP Code
- 14886-9201
- Mailing Country
- US
- Mailing Phone
- (607) 387-5707
- Mailing Fax
- (607) 387-4354
- Practice Street Address
- 4435 Seneca RD
- Practice City
- Trumansburg
- Practice State
- NY
- Practice ZIP Code
- 14886-9201
- Practice Country
- US
- Practice Phone
- (607) 387-5707
- Practice Fax
- (607) 387-4354
- Enumeration Date
- April 04, 2012
- Last Updated
- June 26, 2015
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)