Individual
MR. DOUGLAS ERIC HEIDBREDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
100 W. MAIN STREET, ADDISON, MI 49220
(517) 547-6686
(517) 547-3401
Mailing address
P.O. BOX 349, 100 W. MAIN STREET, ADDISON, MI 49220
(517) 547-6686
(517) 547-3401
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302026194
MI
Other
Enumeration date
07/26/2006
Last updated
03/05/2012
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