Individual
DR. MICHAEL DAVID HEUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1330 COSHOCTON AVE, MOUNT VERNON, OH 43050-1440
(740) 393-9000
(740) 392-0167
Mailing address
1330 COSHOCTON AVE, MOUNT VERNON, OH 43050-1440
(740) 393-9000
(740) 392-0167
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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