Individual
DR. DOUGLAS NEIL HEINZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1191 BYRON RD, HOWELL, MI 48843-1005
(517) 546-4655
Mailing address
1191 BYRON RD, HOWELL, MI 48843-1005
(517) 546-4655
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2205
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900D765010
BC/BS OF MICHIGAN
MI
Enumeration date
03/16/2006
Last updated
08/05/2008
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