Individual
JACOB JOHN HECKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
7400 BAY RD, UNIVERSITY CENTER, MI 48710-0001
(989) 964-7318
Mailing address
5933 WEISS ST APT Q6, SAGINAW, MI 48603-2718
(231) 286-0953
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601002442
MI
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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