Individual
DR. SIDNEY HEISLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15209 W MICHIGAN AVE, MARSHALL, MI 49068-9570
(269) 781-9119
Mailing address
15209 W MICHIGAN AVE, MARSHALL, MI 49068-9570
(269) 781-9119
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301055220
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104699766
—
MI
01
—
7509107630
BLUE CROSS BLUE SHIELD
MI
Enumeration date
07/12/2006
Last updated
02/19/2013
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