Mikel Heins

NPI #1043580954 in Portage, Michigan

Provider Information

NPI Number: 1043580954
Entity Type: Individual
Name: Mikel Heins
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jan 9, 2012
Last Updated: Jan 9, 2012

Practice Location

Address: 7920 SHAVER RD
City: Portage
State: Michigan
ZIP Code: 49024-5121
Phone: (269) 324-9988

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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