Michael Heise, PA

NPI #1740619840 in Mattoon, Illinois

Provider Information

NPI Number
1740619840
Entity Type
Individual
Name
Michael Heise, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Nov 8, 2013
Last Updated
Sep 24, 2018

Practice Location

Address
1005 HEALTH CENTER DR STE 103
ZIP Code
61938-4693
Phone
(217) 258-4051

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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