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Individual

DR. MICHAEL DAVID HEUMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
051144
GA
208600000X
Surgery Physician
Primary
35123548
OH
208600000X
Surgery Physician
44608
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01307453
AMERIGROUP
TN
05
1514519
TN
01
203500913010
TRICARE NORTH
TN
01
4233685
BCBS
TN
05
7100114270
KY
Enumeration date
10/12/2005
Last updated
03/17/2021
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