Organization
DR HEINLENS HEALTH CARE CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LENE ANNETTE HEINLEN D.O. (OWNER)
(989) 304-1343
Entity
Organization
Contact information
Practice address
806 N STATE ST, SUITE B, STANTON, MI 48888-9708
(616) 459-0898
(616) 459-6963
Mailing address
PO BOX 136, TROUT LAKE, MI 49793-0136
(989) 304-1343
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101015385
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MI9687
—
MI
Enumeration date
03/21/2016
Last updated
11/28/2019
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