Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK HEETHOUSE, D.O.
Active Sole ProprietorDR. JACK HEETHOUSE, D.O. is a Specialist healthcare provider located in MUSKEGON, Michigan. NPI 1679523674 is currently active in the NPPES registry. Verify at CMS.
Specialist · MUSKEGON, MI
Registration Details
- NPI Number
- 1679523674
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 11, 2006 (20.218728763255 yrs)
- Last Updated
- Nov 13, 2012
- License
-
5101012999 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1400 MERCY DR.SUITE 100MUSKEGON, MI, 49444Browse MI providers · Browse ZIP 49444
- Phone
- 2317331326
- Fax
- 2317335212
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in MUSKEGON, MI
| Name | Credential | NPI |
|---|---|---|
| WILLARD PETER DEBRABER | D.O. | 1255334397 |
| DR. HIKMET H SIPAHI II | MD | 1396740825 |
| DANIEL WELLER | MD | 1487621967 |
| DARRYL R. STEVENS | DO | 1821013103 |
| DR. RAYMOND ROBERT KOMRAY | M.D. | 1275553513 |
| DR. ALEJANDRO NAKAHODO | M.D. | 1013925353 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.