Vira C Heise M.D.

NPI 1073581450 - Internal Medicine - 207R00000X

NPI Details
NPI 1073581450
Gender Female
Enumeration Date 03/10/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
560 W MITCHELL ST
SUITE 300
PETOSKEY MI, 49770-2275, US
Phone (231) 487-2460
Fax (231) 487-6596
Business Location
560 W MITCHELL ST
SUITE 300
PETOSKEY MI, 49770-2275, US
Phone (231) 487-2460
Fax (231) 487-6596
Toxanomy
Taxonomy Code 207R00000X
License State Michigan
License Number 4301048799
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According to our database, Dr. Vira C Heise M.D. NPI is 1073581450, taxonomy code is 207R00000X and license number is 4301048799, license state is located at Michigan. Vira C Heise M.D. physically located at 560 W Mitchell St, Petoskey MI, 49770-2275. NPI Number Vira C Heise M.D. has the Individual type.

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1073581450 NPI number is provided on an as is basis without warranty of any kind. 1073581450 is maintained by the National Plan & Provider Enumeration System. The contents of Vira C Heise M.D. are for informational purposes only.