Heinzelmann, Mark Joseph

Heinzelmann, Mark Joseph is an sole proprietor health care provider with primary practice located at 4701 Towne Centre, Suite 104 , Saginaw MI 48604-8200. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Heinzelmann, Mark Joseph can be contacted via phone (989) 790-1390.

Contact Information

Primary practice address
4701 Towne Centre, Suite 104 Saginaw MI 48604-8200
Phone: (989) 790-1390
Fax: (989) 790-1656
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 4301046103 Michigan
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 4301046103 Michigan

Profile Details

NPI number 1013005578
LBN Legal business name Heinzelmann, Mark Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2006
Last updated Mar 29th, 2021 - about 3 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 1013005578 NPPES
Michigan MEDICAID 2656699

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