Individual
BRIAN HEYNIGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LBSW
Contact information
Practice address
6051 FRANKFORT HWY, BENZONIA, MI 49616-9558
(877) 398-2013
Mailing address
2581 PLEASANT LAKE SHORE DR, CADILLAC, MI 49601-8823
(231) 690-2750
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802079338
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6802079338
STATE OF MICHIGAN LICENSE
MI
Enumeration date
06/10/2016
Last updated
06/10/2016
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