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Matt Weissnat-Hettinger

Age: 41
Patient ID: 27220
Demographics
Sex: Other
Height: 5.7
Weight: 195
Blood Type: A
Provider & Insurance
Primary Care: Dr. Jane Smith
Insurance: BlueCross BlueShield
Policy Number: 123456789
Insurance Contact: (555) 123-4567
Medical Summary
Allergies: Penicillin, Peanuts
Active Conditions: Hypertension, Asthma
Medications: Lisinopril, Albuterol
Last Visit: Jan 15, 2025
Care Plan & Appointments
Current Care Plan: Physical Therapy for ACL Recovery
Next Appointment: Feb 20, 2025
Assigned Care Team: Dr. John Doe, PT Specialist
Last Procedure: Knee Arthroscopy - Dec 5, 2024

Patient Information

First Name

Matt Weissnat-Hettinger

Last Name

Doe

Date of Birth

1984-08-20

Gender

Other

Phone Number

(511) 905-3727

Insurance Provider

Schiller LLC

Patient ID

27220

Emergency Contact

Jane Doe (+1 987 654 3210)

Patient Address

Street Address

123 Main St, Apt 4B

City

Denver

State/Province

Colorado

Zip Code

80202

Country

United States

Emergency Contact Address

456 Elm St, Apt 10C, Denver, CO