Individual
LEE PATRICK HEERINGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
730 GRANDVILLE AVE SW, GRAND RAPIDS, MI 49503-4920
(616) 685-8400
(616) 742-1322
Mailing address
1900 44TH ST SE, KENTWOOD, MI 49508-5008
(616) 685-1808
(616) 685-8099
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301109096
MI
Other
Enumeration date
04/03/2012
Last updated
12/06/2021
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