Individual
DR. PAUL A HEIDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12251 JAMES ST, SUITE 400, HOLLAND, MI 49424
(616) 494-5548
(616) 393-5643
Mailing address
12251 JAMES ST, SUITE 400, HOLLAND, MI 49424-9675
(616) 494-5548
(616) 393-5643
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
4301029419
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4363112
—
MI
05
—
4363121
—
MI
05
—
4363130
—
MI
05
—
4363140
—
MI
Enumeration date
09/20/2006
Last updated
01/09/2012
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