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Individual
DR. ANTHONY JAMES HEIDT
Active
Individual
DR. ANTHONY JAMES HEIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
5101022939
MI
208D00000X
General Practice Physician
0102204454
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
02/10/2014
Last updated
03/14/2023
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