Individual
DR. MARK JOSEPH HEINZELMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4701 TOWNE CENTRE, SUITE 104, SAGINAW, MI 48604-8200
(989) 790-1390
(989) 790-1656
Mailing address
4701 TOWNE CENTRE, SUITE 104, SAGINAW, MI 48604-8200
(989) 790-1390
(989) 790-1656
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
4301046103
MI
208C00000X
Colon & Rectal Surgery Physician
Primary
4301046103
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2656699
—
MI
Enumeration date
10/10/2006
Last updated
03/29/2021
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