Individual
DR. MICHAEL THOMAS HEUTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4777 E OUTER DR, DETROIT, MI 48234-3241
(313) 369-5700
(313) 369-5755
Mailing address
4777 E OUTER DR, DETROIT, MI 48234-3241
(313) 369-5700
(313) 369-5755
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301038693
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2111377 10
—
MI
01
—
MH038693
LICENSE
MI
Enumeration date
01/23/2007
Last updated
01/09/2019
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