Individual
MICHAEL HEISLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-5184
(401) 444-5017
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-5184
(401) 444-5017
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
LP02077
RI
Other
Enumeration date
06/24/2010
Last updated
02/11/2022
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