Individual
DR. MICHAEL J HEIMERL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3950 E ROBINSON RD, SUITE 205, W AMHERST, NY 14228-2041
(716) 691-3400
(716) 691-3404
Mailing address
3950 E ROBINSON RD, SUITE 205, W AMHERST, NY 14228-2041
(716) 691-3400
(716) 691-3404
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
162028
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00942690
—
NY
Enumeration date
02/24/2006
Last updated
07/08/2007
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