Individual
DR. DIANE EDWARDS HEISEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8303 PLATT RD, SALINE, MI 48176-9773
(734) 295-4228
Mailing address
493 UPLAND HILLS DR, CHELSEA, MI 48118-9650
(734) 475-3568
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
4301053223
MI
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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