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Individual

DR. HEIDI LYNN SCHEFFERLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
306 W WASHINGTON AVE, SUITE 104, JACKSON, MI 49201-2169
(517) 783-6928
Mailing address
4877 W TERRITORIAL RD, RIVES JUNCTION, MI 49277-9639
(517) 589-5062

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003898
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1312340001
DMERC
MI
01
22-20000
PHP OF SOUTHERN MICHIGAN
MI
01
410045602
PALMETTO GBA RR MEDICARE
MI
01
BCBS OF MICHIGAN
900C865230
MI
01
VCM-0149
M-CARE
MI
Enumeration date
11/02/2005
Last updated
12/17/2013
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