Dr Heinlens Health Care Clinic PLLC

Organization Active NPI Family Medicine Physician · Stanton, MI

NPI 1215399167 · NPPES record last updated Nov 28, 2019

Key facts

NPI
1215399167
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
License
5101015385 (MI)
Legal business name
DR HEINLENS HEALTH CARE CLINIC PLLC
Practice address
806 N State St
Suite B
Stanton, MI 48888-9708
Phone
(616) 459-0898
Fax
(616) 459-6963
NPI assigned
Mar 21, 2016
Organization subpart
No

Authorized official

Name
Dr. Lene Annette Heinlen, D.O.
Title
Owner
Phone
(989) 304-1343

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X 5101015385 MI Yes

Addresses

Primary practice location

806 N State St
Suite B
Stanton, MI 48888-9708

Mailing address

PO Box 136
Trout Lake, MI 49793-0136
Phone (989) 304-1343

Other identifiers

IdentifierTypeStateIssuer
MI9687MedicaidMI

Other providers in Stanton, MI

All providers in Stanton, MI · Family Medicine Physician in Michigan

Sources for this page

Verify at the official NPI Registry.