| Charles E. Heth, D.o., P.c. | |
|
42855 Garfield Rd Ste 105 Clinton Township MI 48038-5027 | |
| (586) 226-1387 | |
| (586) 226-1859 |
| Full Name | Charles E. Heth, D.o., P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 42855 Garfield Rd Ste 105, Clinton Township, Michigan |
| Authorized Official Name and Position | Diana Garfield (BUSINESS MANAGER) |
| Authorized Official Contact | 5862261490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles E. Heth, D.o., P.c. 42855 Garfield Rd Ste 105 Clinton Township MI 48038-5027 Ph: (586) 226-1387 | Charles E. Heth, D.o., P.c. 42855 Garfield Rd Ste 105 Clinton Township MI 48038-5027 Ph: (586) 226-1387 |
| NPI Number | 1598944589 |
|---|---|
| Provider Enumeration Date | 10/26/2007 |
| Last Update Date | 10/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598944589 | NPI | - | NPPES |
| 4125700 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101009233 (Michigan) | Primary |
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