Individual
JANICE B HEIKENEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6287 LAGOON LANE, BOX 439, MOHAWK, MI 49950
(906) 289-4316
Mailing address
6287 LAGOON LANE, BOX 439, MOHAWK, MI 49950-0439
(906) 289-4316
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
32580
WI
2080P0206X
Pediatric Gastroenterology Physician
4301089369
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31957600
—
WI
05
—
5345324
—
MI
01
—
700C610000
BCBS OF MI
MI
Enumeration date
09/25/2006
Last updated
11/15/2013
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