Organization
WILLIAM F HECKERT D.O. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM HECKERT D.O. (PRESEDENT)
(517) 372-2253
Entity
Organization
Contact information
Practice address
2815 S PENNSYLVANIA AVE, STE 107, LANSING, MI 48910-3496
(517) 372-2253
(517) 372-2287
Mailing address
2815 S PENNSYLVANIA AVE, STE 107, LANSING, MI 48910-3496
(517) 372-2253
(517) 372-2287
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
5101006399
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03-00584
PHP
MI
01
—
0753335364
BLUE CROSS
MI
05
—
1369005 TYPE 11
—
MI
01
—
5333536
MEDICARE ID-TYPE UNSPECIFIED
MI
Enumeration date
09/05/2008
Last updated
09/05/2008
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