Individual
MR. MICHAEL D HEVOR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 COTTAGE AVE, STE 200, MANTECA, CA 95336
(209) 832-3332
(209) 632-2258
Mailing address
PO BOX 539, DENAIR, CA 95316
(209) 632-2256
(209) 632-2258
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A48540
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A485400
—
CA
Enumeration date
04/22/2006
Last updated
07/08/2007
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