Individual
DR. GEORGE L HEENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 NILES ROAD, SUITE 1, ST JOSEPH, MI 49085
(269) 429-5000
(269) 429-2598
Mailing address
2500 NILES ROAD, SUITE 1, ST JOSEPH, MI 49085
(269) 429-5000
(269) 429-2598
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
GH040763
MI
Other
Enumeration date
06/21/2006
Last updated
07/08/2007
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