Individual
MRS. MEGHAN M HESCHELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT, ATC, PTA
Contact information
Practice address
224 PARK AVE, FRANKFORT, MI 49635-9658
(231) 325-2203
Mailing address
8345 FOSTER RD, CLARKSTON, MI 48346-1957
(248) 245-8155
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
2601000998
MI
2083S0010X
Sports Medicine (Preventive Medicine) Physician
60288345
WA
225200000X
Physical Therapy Assistant
5502005737
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2601000998
LARA
MI
01
—
5502005737
LARA
MI
Enumeration date
08/31/2012
Last updated
09/29/2020
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