| Heritage Health, Pc | |
|
1007 Harbor Hills Dr Ste B Marquette MI 49855-8977 | |
| (616) 260-0086 | |
| Not Available |
| Full Name | Heritage Health, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1007 Harbor Hills Dr Ste B, Marquette, Michigan |
| Authorized Official Name and Position | Shawna Gleason (OWNER/PHYSICIAN) |
| Authorized Official Contact | 9062620400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Health, Pc 1007 Harbor Hills Dr Ste B Marquette MI 49855-8977 Ph: (906) 262-0400 | Heritage Health, Pc 1007 Harbor Hills Dr Ste B Marquette MI 49855-8977 Ph: (616) 260-0086 |
| NPI Number | 1194329961 |
|---|---|
| Provider Enumeration Date | 11/23/2020 |
| Last Update Date | 01/04/2021 |
| Medicare PECOS PAC ID | 3678989480 |
|---|---|
| Medicare Enrollment ID | O20210302002910 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194329961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Karen M Swenor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871716902 PECOS PAC ID: 9335219930 Enrollment ID: I20120106000648 |
| Provider Name | Shawna R Gleason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396037172 PECOS PAC ID: 0446470850 Enrollment ID: I20141007002592 |
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