Individual
DREANA HEIDENREICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-5987
Mailing address
319 FAIRLAWN DR, ROUND LAKE PARK, IL 60073-3114
(815) 541-9453
Taxonomy
Speciality
Code
Description
License number
State
211D00000X
Podiatric Assistant
Primary
5951001585
—
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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