Organization
MEREDITH C HEISEY DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEREDITH C HEISEY DO (CEO)
(517) 267-0200
Entity
Organization
Contact information
Practice address
2815 S PENNSYLVANIA AVE, SUITE 204, LANSING, MI 48910
(517) 267-0200
(517) 267-1877
Mailing address
3404 PATIENT CARE DR, LANSING, MI 48911-4217
(517) 267-0200
(517) 267-1877
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101015149
MI
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
5101015149
MI
Other
Enumeration date
08/14/2018
Last updated
05/14/2026
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