Individual
MICHELLE G HEITMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
588 E LAKEWOOD BLVD, HOLLAND, MI 49424-2023
(616) 494-5850
(616) 494-5901
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704150972
MI
Other
Enumeration date
10/11/2006
Last updated
05/29/2012
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