Individual
DR. HEIDI BAUER SKELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
5161 CARDINAL PARK DRIVE, SAGINAW, MI 48604-9435
(989) 797-2400
(989) 249-1035
Mailing address
PO BOX 5649, SAGINAW, MI 48603-0649
(989) 797-2400
(989) 249-1035
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
003855
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9404091424
—
MI
Enumeration date
06/16/2005
Last updated
04/08/2021
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