Heidt, David Graham

Heidt, David Graham is an individual health care provider with primary practice located at 5301 E Huron River Dr , Ypsilanti MI 48197. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Heidt, David Graham can be contacted via phone (734) 712-7017.

Contact Information

Primary practice address
5301 E Huron River Dr Ypsilanti MI 48197
Phone: (734) 712-7017
Fax: (734) 712-2844
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35.095889 Ohio
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301077820 Michigan
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 4301077820 Michigan
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 4301077820 Michigan

Profile Details

NPI number 1578683231
LBN Legal business name Heidt, David Graham
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Jul 19th, 2018 - about 6 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 1578683231 NPPES
Ohio MEDICAID 3077576

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