Heidenreich, Michael J

Heidenreich, Michael J is an individual health care provider with primary practice located at 5325 Elliott Dr Suite 104, Ypsilanti MI 48197-8633. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Heidenreich, Michael J can be contacted via phone (734) 712-8150.

Contact Information

Primary practice address
5325 Elliott Dr Suite 104 Ypsilanti MI 48197-8633
Phone: (734) 712-8150
Fax: (734) 712-8151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 4301082301 Michigan

Profile Details

NPI number 1578507554
LBN Legal business name Heidenreich, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Sep 19th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578507554 NPPES
Michigan MEDICAID 4516694-10

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