Organization
WILLIAM C. HEATH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KASSANDRA HILL (MANAGER)
(313) 255-4672
Entity
Organization
Contact information
Practice address
22341 W 8 MILE RD, DETROIT, MI 48219-1217
(313) 255-4672
Mailing address
22341 W 8 MILE RD, DETROIT, MI 48219-1217
(313) 255-4672
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
036972
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1099250
—
MI
Enumeration date
09/23/2008
Last updated
09/23/2008
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