Individual
JANET DELORES HEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
380 MILL ST, ORTONVILLE, MI 48462-8721
(248) 627-7682
(248) 627-7685
Mailing address
957 EVERGREEN RDG, ORTONVILLE, MI 48462-9746
(248) 627-5066
(248) 627-7685
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5101013119
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114139715
—
MI
Enumeration date
11/16/2006
Last updated
10/16/2012
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