Individual
HEATHER SATEESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1234 E DUPONT RD STE 2, FORT WAYNE, IN 46825-1545
(260) 425-6390
(260) 425-6395
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004711A
IN
363A00000X
Physician Assistant
5601007147
MI
Other
Enumeration date
10/03/2014
Last updated
04/02/2025
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