Provider Demographics
NPI:1063473403
Name:FLEISCHMANN, HEIDI ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:HEIDI
Middle Name:ELIZABETH
Last Name:FLEISCHMANN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:7520 MONTGOMERY BLVD NE
Mailing Address - Street 2:BLDG D4
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-1533
Mailing Address - Country:US
Mailing Address - Phone:505-884-7070
Mailing Address - Fax:505-884-6018
Practice Address - Street 1:7520 MONTGOMERY BLVD NE
Practice Address - Street 2:BLDG D4
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-1533
Practice Address - Country:US
Practice Address - Phone:505-884-7070
Practice Address - Fax:505-884-6018
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-28
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
NM87-233207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMA51316Medicare UPIN