Mr Erich Theodore Heger, CRNA | |
212 S Sullivan Ave, Fremont, MI 49412-1548 | |
(231) 924-3300 | |
Not Available |
Full Name | Mr Erich Theodore Heger |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 212 S Sullivan Ave, Fremont, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326127077 | NPI | - | NPPES |
4704154294 | Other | MI | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 4704154294 (Michigan) | Primary |
Entity Name | Anesthesia Professional Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750304622 PECOS PAC ID: 8527952092 Enrollment ID: O20040214000198 |
Entity Name | Northstar Anesthesia Of Michigan Ii Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437268026 PECOS PAC ID: 7911895164 Enrollment ID: O20040309000625 |
Entity Name | Lakeshore Anesthesia Staffing Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255781019 PECOS PAC ID: 7416242946 Enrollment ID: O20160823002740 |
Mailing Address | Practice Location Address |
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Mr Erich Theodore Heger, CRNA 6794 Chamberlain Dr, Fremont, MI 49412-7920 Ph: () - | Mr Erich Theodore Heger, CRNA 212 S Sullivan Ave, Fremont, MI 49412-1548 Ph: (231) 924-3300 |
Mr. David L Poel, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 212 S Sullivan Ave, Fremont, MI 49412 Phone: 231-924-1359 |