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Individual

DR. MICHAEL R HERU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
594 GREAT RD, SUITE 103, NORTH SMITHFIELD, RI 02896-6810
(401) 597-0088
(401) 597-0077
Mailing address
594 GREAT RD, SUITE 103, NORTH SMITHFIELD, RI 02896-6810
(401) 597-0088
(401) 597-0077

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8125
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7006275
RI
Enumeration date
05/28/2006
Last updated
08/22/2016
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