Individual
HEATHER M. BURNSIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
420 WHITEHALL RD, NORTH MUSKEGON, MI 49445-3299
(231) 744-4743
Mailing address
420 WHITEHALL RD, NORTH MUSKEGON, MI 49445-3299
(231) 744-4743
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601007498
MI
Other
Enumeration date
09/01/2015
Last updated
01/12/2018
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