OrganizationActive
Heritage Medical Group LLC
NPI 1962705202 · Internal Medicine Physician · Wasilla, AK
Provider details
- NPI number
- 1962705202
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Zipperer, Manager(907) 232-8545
- License
- 6922 (AK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
501 N Knik St
Wasilla, AK 99654-7050
Phone: (907) 232-8545
Approximate (ZIP-level) locationGet directions
Mailing address
501 N Knik St
Wasilla, AK 99654-7050
Registry dates
- Enumerated
- 2010-12-08
- Last updated
- 2010-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.