Brian D Heeringa in Traverse City - Surgery
Brian D Heeringa - NPI 1497789010
Brian D Heeringa is a Surgery in Traverse City, Michigan. Brian D Heeringa practices all healthcare services and medical treatments related to Surgery. The NPI Number for Brian D Heeringa is 1497789010. The last update date is 2020-12-21.
Brian D Heeringa's current location address is 880 Munson Ave, Traverse City, Michigan. You can contact this provider via phone number 2319461488 and fax number 2319461489. The mailing address for Brian D Heeringa is 880 Munson Ave, Traverse City, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian D Heeringa |
|---|---|
| Address | 880 Munson Ave, Traverse City, Michigan |
| Phone Number | 2319461488 |
| Fax Number | 2319461489 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1497789010 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2020-12-21 |
Provider Mailing Address Detail
| Address | 880 Munson Ave |
|---|---|
| City | Traverse City |
| State | Michigan (MI) |
| Post Code | 496863661 |
| Phone Number | 2319461488 |
| Fax Number | 2319461489 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | BH076613 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4759050 | MI | -- | |
| 020H310060 | BLUE CROSS |
Post Comment/ Review Below
What is the unique identification code assigned to Brian D Heeringa by the Centers for Medicare & Medicaid Services?
The Brian D Heeringa has been issued the NPI (National Provider Identifier) 1497789010. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Brian D Heeringa is physically located?
The Brian D Heeringa is physically situated at the following address: 880 Munson Ave, Traverse City, MI, 496863661.
What is Brian D Heeringa's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Brian D Heeringa is Surgery, and the taxonomy classification code that categorizes this area of expertise is 208600000X.
When did the Brian D Heeringa receive its 1497789010?
The Brian D Heeringa was issued its 1497789010 on 2006-07-10, which is the date when the organization was assigned this unique identifier.
As of what date were the Brian D Heeringa's details last updated?
The information pertaining to the Brian D Heeringa, including its address, specialty, and other details, was most recently updated on 2020-12-21.