Individual
MRS. HEATHER MARIE BIRMINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
105 ARBOR LN, ALPENA, MI 49707-1301
(989) 884-0139
Mailing address
13719 ENGER RD, POSEN, MI 49776-9218
(989) 464-6183
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008937
MI
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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