Individual
MICHAEL HEICHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, AT
Contact information
Practice address
1485 CONGRESS LAKE RD, MOGADORE, OH 44260-1924
(330) 730-1686
Mailing address
1485 CONGRESS LAKE RD, MOGADORE, OH 44260-1924
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-1506
OH
Other
Enumeration date
05/14/2016
Last updated
05/14/2016
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