Individual
HEATHER M GULISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.N., C.U.N.P.
Contact information
Practice address
20952 E 12 MILE RD, SUITE 200, ST CLAIR SHORES, MI 48081-3200
(586) 771-4820
(586) 771-6620
Mailing address
20952 E 12 MILE RD, SUITE 200, ST CLAIR SHORES, MI 48081-3200
(586) 771-4820
(586) 771-6620
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704180714
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500013142
RAILROAD MEDICARE
MI
Enumeration date
04/18/2006
Last updated
07/28/2008
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