Individual
LAUREN ALISSA HEIDEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301100302
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301100302
MI
Other
Enumeration date
06/19/2012
Last updated
03/20/2023
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