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Individual
MICHAEL PRESTON HEINBACH
Active
Individual
MICHAEL PRESTON HEINBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC, ACCNS-AG
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
95017584
CA
363LG0600X
Gerontology Nurse Practitioner
Primary
95017584
CA
Other
Enumeration date
05/12/2022
Last updated
08/05/2022
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