Provider Demographics
NPI:1356465348
Name:POHL, HEIKO (MD)
Entity Type:Individual
Prefix:
First Name:HEIKO
Middle Name:
Last Name:POHL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:FLACHSWEG 11
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:BERLIN
Mailing Address - Zip Code:14129
Mailing Address - Country:DE
Mailing Address - Phone:8-010-9094
Mailing Address - Fax:
Practice Address - Street 1:VETERANS AFFAIRS MEDICAL CTR
Practice Address - Street 2:215 NORTH MAIN STREET
Practice Address - City:WHITE RIVER JUNCTION
Practice Address - State:VT
Practice Address - Zip Code:05009-0001
Practice Address - Country:US
Practice Address - Phone:802-295-9363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VTTO BE OBTAINED207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology