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Individual

MICHAEL RILEY HEAPHY SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
750 W HIGH ST, SUITE 300, LIMA, OH 45801-2969
(419) 229-6787
(419) 229-3490
Mailing address
750 W HIGH ST, SUITE 300, LIMA, OH 45801-2969
(419) 229-6787
(419) 229-3490

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35040604
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0340321
OH
Enumeration date
07/26/2006
Last updated
12/31/2019
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