person
Heidi S Gjersoe, MD
Gastroenterology Physician in Portage, Michigan
NPI 1679538581

Heidi S Gjersoe is a Gastroenterology Physician based in Portage, MI and is specialized in Gastroenterology. Heidi S Gjersoe practices in Portage, MI and has the professional credentials of MD. The NPI Number for Heidi S Gjersoe is 1679538581 and holds a License No. HG060600 (Michigan).

The current practice location address for Heidi S Gjersoe is 3304 Cooley Ct, Portage, MI and can be reached out via phone at 269-349-2266 and via fax at 269-349-0792.

Location: 3304 Cooley Ct, Portage, MI, 49024-7430
person
Provider Profile Details
NPI Number
1679538581
Provider Name
Heidi S Gjersoe
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3304 Cooley Ct, Portage, MI, 49024-7430
Phone Number
269-349-2266
Fax Number
269-349-0792
Provider Enumeration Date
04/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1417961137 01 MI BCBSM - BRONSON
4319176 01 MI AETNA
0M92920001 01 MI MEDICARE
1679538581 01 MI NPI
1679538581 05 MI
100987 01 MI GREAT LAKES HEALTH PLAN
1851569958 01 MI NPI 04/25/2008 AND AFTER
HG060600 01 MI BLUE CROSS BLUE SHIELD
0P56360004 01 MI MEDICARE 04/25/2008 AND AFTER
100C910690 01 MI BCBSM
383309299137 01 MI CARESOURCE MEDICAID
100C914640 01 MI BCBS 04/25/2008 AND AFTER
104171768 05 MI
institution
Provider Business Practice Location Address Details
Address
3304 Cooley Ct
City
State
Zip
49024-7430
Phone Number
269-349-2266
Fax Number
269-349-0792
person
Provider Business Mailing Address Details
Address
3304 Cooley Ct
City
State
Zip
49024-7430
Phone Number
269-349-2266
Fax Number
269-349-0792
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Gastroenterology
Taxonomy
License No.
HG060600 (Michigan)
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
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