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Individual
MOLLY MARIE HEINRICH
Active
Individual
MOLLY MARIE HEINRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601004759
MI
363A00000X
Physician Assistant
Primary
PA9108022
FL
363AS0400X
Surgical Physician Assistant
5601004759
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11712583
CAQH
MI
Enumeration date
06/28/2006
Last updated
07/13/2022
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