Individual
CAROLINE KITELEY HEIDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
401 W GREENLAWN AVE, LANSING, MI 48910-2819
(517) 975-6000
Mailing address
401 W GREENLAWN AVE, LANSING, MI 48910-2819
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101023401
MI
Other
Enumeration date
04/13/2017
Last updated
02/28/2018
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