Individual
JOEL J HEIDELBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 ARNET ST, SUITE 200, YPSILANTI, MI 48198
(734) 482-6221
Mailing address
700 KMS PLACE, 3621 S STATE ST, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301074459
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4138431
—
MI
Enumeration date
10/10/2006
Last updated
10/24/2011
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