Individual
MICHAEL HEETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2030 DORSETT VLG, MARYLAND HEIGHTS, MO 63043-2208
(314) 434-5496
Mailing address
5026 POTOMAC ST, SAINT LOUIS, MO 63139-1317
(314) 406-2524
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2013027420
MO
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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