Provider Demographics
NPI:1538295308
Name:HEILMAN, RACHEL PURDY (MD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:PURDY
Last Name:HEILMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:PURDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 1327
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53008-1327
Mailing Address - Country:US
Mailing Address - Phone:414-447-2674
Mailing Address - Fax:414-447-1070
Practice Address - Street 1:3070 N 51ST ST
Practice Address - Street 2:SUITE 309
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53210-1645
Practice Address - Country:US
Practice Address - Phone:414-447-2674
Practice Address - Fax:414-447-1070
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI64006-20208000000X, 2080N0001X
MAL-224776208000000X
WI64004-202080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics