David G Heidemann MD

NPI 1073504122 - Ophthalmology - 207W00000X

NPI Details
NPI 1073504122
Gender Male
Enumeration Date 10/28/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
29201 TELEGRAPH RD
SUITE 101
SOUTHFIELD MI, 48034-1331, US
Phone (248) 350-1130
Fax (248) 350-2709
Business Location
29201 TELEGRAPH RD
SUITE 101
SOUTHFIELD MI, 48034-1331, US
Phone (248) 350-1130
Fax (248) 350-2709
Toxanomy
Taxonomy Code 207W00000X
License State Michigan
License Number 4301048651
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According to our database, Dr. David G Heidemann MD NPI is 1073504122, taxonomy code is 207W00000X and license number is 4301048651, license state is located at Michigan. David G Heidemann MD physically located at 29201 Telegraph Rd, Southfield MI, 48034-1331. NPI Number David G Heidemann MD has the Individual type.

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1073504122 NPI number is provided on an as is basis without warranty of any kind. 1073504122 is maintained by the National Plan & Provider Enumeration System. The contents of David G Heidemann MD are for informational purposes only.