MICHAEL HEISE

MATTOON, IL
NPI1740619840
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085004872)
Enumeration Date2013-11-08
Last Update Date2018-09-24
Business Address
MICHAEL HEISE PA
1005 HEALTH CENTER DR STE 103
MATTOON, IL 61938-4693
Phone number: 217-258-4051
Mailing Address
MICHAEL HEISE PA
1005 HEALTH CENTER DR STE 201
MATTOON, IL 61938-4693
Phone number: 217-238-6055
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