# MICHAEL W HEASLET DPM INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568762953
- **Authorized official:** MRS. GAIL KATHLEEN HEASLET (CORPORATE SECRETARY)
- **Authorized official phone:** (949) 651-1202

## Contact information

- **Practice address:** 4950 BARRANCA PKWY, SUITE 308, IRVINE, CA 92604-4671
- **Practice address phone:** (949) 651-1202
- **Practice address fax:** (949) 552-9493
- **Mailing address:** 4950 BARRANCA PKWY, SUITE 308, IRVINE, CA 92604-4671
- **Mailing address phone:** (949) 651-1202
- **Mailing address fax:** (949) 552-9493

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E2056 | CA | Yes |

## Other

- **Enumeration date:** 11/01/2010
- **Last updated:** 11/01/2010