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Individual

ELLEN F HEIT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
10524 MAIN ST, HONOR, MI 49640-9461
(231) 325-2277
(231) 325-2279
Mailing address
PO BOX 366, HONOR, MI 49640-0366
(231) 325-2277
(231) 325-2279

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704148935
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4627730
MI
01
5008769510
BCBS
MI
01
P00362705
RAILROAD MEDICARE
MI
Enumeration date
12/19/2006
Last updated
01/18/2008
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