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Dr. Jack Heethouse, DO
Specialist in Muskegon, Michigan
NPI 1679523674

Jack Heethouse is a Specialist based in Michigan, MI. Jack Heethouse practices in Muskegon, MI and has the professional credentials of DO. The NPI Number for Jack Heethouse is 1679523674 and holds a License No. 5101012999 (Michigan).

The current practice location address for Jack Heethouse is 1400 Mercy Dr., Muskegon, MI and can be reached out via phone at 231-733-1326 and via fax at 231-733-5212.

Location: 1400 Mercy Dr., Muskegon, MI, 49444
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679523674
Provider Name
Jack Heethouse
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1400 Mercy Dr., Muskegon, MI, 49444
Phone Number
231-733-1326
Fax Number
231-733-5212
Provider Enumeration Date
05/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4308380 05 MI
institution
Provider Business Practice Location Address Details
Address
1400 Mercy Dr.
City
Muskegon
State
Michigan
Zip
49444
Phone Number
231-733-1326
Fax Number
231-733-5212
person
Provider Business Mailing Address Details
Address
1400 Mercy Dr.
City
Muskegon
State
Michigan
Zip
49444
Phone Number
231-733-1326
Fax Number
231-733-5212
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
5101012999 (Michigan)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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