Individual
HEIDI WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41621 W 11 MILE RD, NOVI, MI 48375-1804
(248) 299-0030
Mailing address
6280 N BAY, CLARKSTON, MI 48346-1730
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704301661
MI
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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