Individual
DR. MARC D HEADAPOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1850 WHITES RD, SUITE 3, KALAMAZOO, MI 49008-4801
(269) 343-3900
(269) 343-5640
Mailing address
1850 WHITES RD STE 3, KALAMAZOO, MI 49008-4801
(269) 343-3900
(269) 343-5640
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
85947
WI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
4301074898
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10/4278432
—
MI
Enumeration date
06/05/2006
Last updated
01/08/2026
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