NPI 1396993895

Clare B. Heidtke, MD, PLLC

Organisation Gynecology Physician Petoskey, MI

Practice location

Address: 2810 Charlevoix Ave Suite 104, Petoskey, MI 49770-8421
Phone: (231) 487-0970
Fax: (231) 487-0979

Authorised official

Name: Clare B Heidtke
Title: Owner
Phone: (231) 487-0970

Registered specialties

Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207VG0400X Licence CH045760 (MI)

Other Obstetrics & Gynecology providers in Michigan →

Registry record

NPI: 1396993895
Entity type: Organization
NPI issued: 9 Sep 2008
Record last updated: 9 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.