Organization
HERITAGE HEALTH, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA GLEASON DO (OWNER/PHYSICIAN)
(906) 262-0400
Entity
Organization
Contact information
Practice address
1007 HARBOR HILLS DR STE B, MARQUETTE, MI 49855-8977
(616) 260-0086
Mailing address
1007 HARBOR HILLS DR STE B, MARQUETTE, MI 49855-8977
(906) 262-0400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/23/2020
Last updated
01/04/2021
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