Individual
DAVID G HEIDEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
29201 TELEGRAPH RD, SUITE 101, SOUTHFIELD, MI 48034-1331
(248) 350-1130
(248) 350-2709
Mailing address
29201 TELEGRAPH RD, SUITE 101, SOUTHFIELD, MI 48034-1331
(248) 350-1130
(248) 350-2709
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301048651
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1818756
—
MI
Enumeration date
10/28/2005
Last updated
07/28/2022
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