Individual
HEIDI FITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11293 N M 37, STE. A, BUCKLEY, MI 49620-9593
(231) 269-4185
(231) 269-4461
Mailing address
11293 N M 37, STE. A, BUCKLEY, MI 49620-9593
(231) 269-4185
(231) 269-4461
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007246
MI
363A00000X
Physician Assistant
6274
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003121146A
—
GA
05
—
1343PA
—
SC
Enumeration date
10/10/2011
Last updated
10/22/2020
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