Individual
KATIE HEINZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1661 CRYSTAL SPRINGS BLVD SE, CALEDONIA, MI 49316-7478
(616) 326-0114
(616) 369-3790
Mailing address
1661 CRYSTAL SPRINGS BLVD SE, CALEDONIA, MI 49316-7478
(616) 326-0114
(616) 369-3790
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008843
MI
Other
Enumeration date
11/19/2018
Last updated
04/17/2023
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