Individual
DR. MICHAEL J HEAVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6400 CLAYTON RD, SUITE 216, SAINT LOUIS, MO 63117-1850
(314) 646-7848
(314) 646-7847
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-1850
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2009005443
MO
Other
Enumeration date
02/13/2007
Last updated
10/22/2020
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