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Individual

DR. HEATHER ELIZABETH BUIST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
1310 CRAMER CIRCLE, PENNOCK 506, BIG RAPIDS, MI 49307-2738
(231) 591-2222
(231) 591-3991
Mailing address
1310 CRAMER CIRCLE, PENNOCK 506, BIG RAPIDS, MI 49307-2738
(231) 591-2222
(231) 591-3991

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004310
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0784610001058
AMINISTAR
MI
05
4777236
MI
01
HB004310
BLUE CROSS
MI
Enumeration date
07/21/2006
Last updated
07/08/2007
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