Individual
DR. BRIAN D HEERINGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
880 MUNSON AVE, SUITE A, TRAVERSE CITY, MI 49686-3661
(231) 946-1488
(231) 946-1489
Mailing address
880 MUNSON AVE, SUITE A, TRAVERSE CITY, MI 49686-3661
(231) 946-1488
(231) 946-1489
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
BH076613
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020H310060
BLUE CROSS
—
05
—
4759050
—
MI
Enumeration date
07/10/2006
Last updated
12/21/2020
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