Provider Demographics
NPI:1720441082
Name:HEINZ, GARRETT RANDOLPH (DO)
Entity Type:Individual
Prefix:
First Name:GARRETT
Middle Name:RANDOLPH
Last Name:HEINZ
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:700 ACKERMAN RD STE 2120
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1559
Mailing Address - Country:US
Mailing Address - Phone:614-685-4614
Mailing Address - Fax:614-685-5025
Practice Address - Street 1:6700 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-3508
Practice Address - Country:US
Practice Address - Phone:614-685-4614
Practice Address - Fax:614-685-5025
Is Sole Proprietor?:No
Enumeration Date:2016-04-03
Last Update Date:2022-10-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH34.013539207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine