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NPI Profile for LISA G HEIDEMANN in OXFORD CHARTER TOWNSHIP, MI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric/Mental Health |
163WP0808X |
| NPI Number | 1982807913 |
|
| Status | Active | |
| Credentials | RN (Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 06/07/2007 | |
| Last updated | 01/06/2010 - About 16 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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LISA G HEIDEMANN
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LISA G HEIDEMANN, RN