Individual
EMILY HEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
211 N EDDY ST, SOUTH BEND, IN 46617-3096
(574) 234-8161
Mailing address
211 N EDDY ST, SOUTH BEND, IN 46617-3096
(574) 234-8161
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01078476A
IN
Other
Enumeration date
06/20/2013
Last updated
06/21/2022
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