Individual
ANDREW CHARLES HEAFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4069 LAKE DR SE, SUITE 315, GRAND RAPIDS, MI 49546-8816
(616) 267-7758
(616) 267-7290
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
4301104370
MI
207YP0228X
Pediatric Otolaryngology Physician
Primary
4301104370
MI
Other
Enumeration date
05/22/2007
Last updated
03/18/2021
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