Whalio Doctors

NPI 1003992132

Ray Kendall Heaney, PAC

Practitioner Physician Assistant Ann Arbor, MI

Practice location

Address
1500 E Medical Center Dr, Ann Arbor, MI 48109-5000
Phone
(734) 936-4000
Mailing address
3621 S State St, Ann Arbor, MI 48108-1633

Registered specialties

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 5601003521 (MI)

Registry record

NPI
1003992132
Entity type
Individual
Sex (as registered)
Male
NPI issued
31 Oct 2006
Record last updated
31 Jul 2019

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.