Clare B Heidtke M.D.

NPI 1013004373 - Obstetrics & Gynecology - 207VG0400X

NPI Details
NPI 1013004373
Gender Female
Enumeration Date 10/06/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2810 CHARLEVOIX AVE
SUITE 104
PETOSKEY MI, 49770-8421, US
Phone (231) 487-0970
Fax (231) 487-0979
Business Location
2810 CHARLEVOIX AVE
SUITE 104
PETOSKEY MI, 49770-8421, US
Phone (231) 487-0970
Fax (231) 487-0979
Toxanomy
Taxonomy Code 207VG0400X
License State Michigan
License Number CH045760
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According to our database, Clare B Heidtke M.D. NPI is 1013004373, taxonomy code is 207VG0400X and license number is CH045760, license state is located at Michigan. Clare B Heidtke M.D. physically located at 2810 Charlevoix Ave, Petoskey MI, 49770-8421. NPI Number Clare B Heidtke M.D. has the Individual type.

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1013004373 NPI number is provided on an as is basis without warranty of any kind. 1013004373 is maintained by the National Plan & Provider Enumeration System. The contents of Clare B Heidtke M.D. are for informational purposes only.