DR. George L Heenan, MD

NPI #1407892102 in St Joseph, Michigan

Provider Information

NPI Number: 1407892102
Entity Type: Individual
Name: DR. George L Heenan, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jun 21, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2500 NILES ROAD
Address 2: SUITE 1
City: St Joseph
State: Michigan
ZIP Code: 49085
Phone: (269) 429-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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