DR. GLEN JOSEPH HEINZL MD
NPI 1356495444
Family Medicine in New Lisbon, WI

Q: What is Glen Heinzl's NPI number?

The NPI number for Glen Heinzl is 1356495444. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Q: What is Glen Heinzl's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Glen Heinzl was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 23, 2007

2000 PROGRESS DRIVE, NEW LISBON, WI 53950(608) 562-6400(608) 562-7382 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Glen Joseph Heinzl Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GLEN JOSEPH HEINZL MD (NPI 1356495444) is an individual family medicine provider in New Lisbon, Wisconsin, licensed in Wisconsin (22801) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1356495444

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. GLEN JOSEPH HEINZLCredential: MD

Location Address2000 PROGRESS DRIVENew Lisbon, WI 53950-2000

Mailing AddressN11015 19th Ave., P.o. Box 499Necedah, WI 54646 · (608) 565-7771

Phone(608) 562-6400

Fax(608) 562-7382

Sole ProprietorNo

Enumeration DateJanuary 23, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1356495444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WI · 22801

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2000 PROGRESS DRIVE, New Lisbon, WI 53950

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Other Identifiers 1

Medicare UPINB53517

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glen Heinzl's NPI number?

The NPI number for Glen Heinzl is 1356495444. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Glen Heinzl located?

Glen Heinzl practices at 2000 Progress Drive, New Lisbon, WI 53950. The listed phone number is (608) 562-6400.

What is Glen Heinzl's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Glen Heinzl was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.