Individual
MICHAEL ALAN HEIDLEBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2990 GREENFIELD RD, BERKLEY, MI 48072-1160
(248) 797-6709
Mailing address
2990 GREENFIELD RD, BERKLEY, MI 48072-1160
(248) 797-6709
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
Q4766
TX
Other
Enumeration date
05/19/2010
Last updated
09/09/2015
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