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Individual
TODD E HEATON
Active
Individual
TODD E HEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD428905
MI
2086S0120X
Pediatric Surgery Physician
Primary
MD428905
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD24997
STATE MEDICAL BOARD
ME
Enumeration date
08/29/2007
Last updated
03/28/2022
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