Individual
MRS. AMY L HEESCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
6110 ABBOT RD, EAST LANSING, MI 48823-1410
(517) 332-5342
(517) 332-3325
Mailing address
6110 ABBOT RD, EAST LANSING, MI 48823-1410
(517) 332-5342
(517) 332-3325
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601005171
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292349100
—
FL
01
—
PA9102667
LICENSE
FL
Enumeration date
07/09/2006
Last updated
12/05/2013
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