Individual
DR. MICHAEL S HEIDISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3384 STATE ROUTE 752, ASHVILLE, OH 43103-9685
(740) 983-6171
(740) 983-6587
Mailing address
3384 STATE ROUTE 752, ASHVILLE, OH 43103-9685
(740) 983-6171
(740) 983-6587
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4562/T1305
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2801749
—
OH
Enumeration date
06/30/2005
Last updated
10/09/2012
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