Individual
DR. MICHAEL J HEILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2920 SUPERIOR AVE, SHEBOYGAN, WI 53081-1944
(920) 496-4700
(920) 458-3163
Mailing address
2920 SUPERIOR AVE, SHEBOYGAN, WI 53081-1944
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
208600000X
Surgery Physician
Primary
30902
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34925300
—
WI
Enumeration date
07/25/2006
Last updated
03/23/2015
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