person
Michael William Heaslet, DPM
Foot & Ankle Surgery Podiatrist in Irvine, California
NPI 1790735397

Michael William Heaslet is a Foot & Ankle Surgery Podiatrist based in Irvine, CA and is specialized in Foot & Ankle Surgery. Michael William Heaslet practices in Irvine, CA and has the professional credentials of DPM. The NPI Number for Michael William Heaslet is 1790735397 and holds a License No. E2056 (California).

The current practice location address for Michael William Heaslet is 4950 Barranca Pkwy, Irvine, CA and can be reached out via phone at 949-651-1202 and via fax at 949-552-9493. You can also correspond with Michael William Heaslet through the mailing address at 4950 BARRANCA PKWY, IRVINE, CA - 92604-4671 (mailing address contact number: 949-651-1202).

Location: 4950 Barranca Pkwy, Irvine, CA, 92604-4671
person
Provider Profile Details
NPI Number
1790735397
Provider Name
Michael William Heaslet
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
4950 Barranca Pkwy, Irvine, CA, 92604-4671
Phone Number
949-651-1202
Fax Number
949-552-9493
Provider Enumeration Date
05/12/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
95-3539063 01 CA FEDERAL TAX ID
E2056 01 CA STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
4950 Barranca Pkwy
City
State
Zip
92604-4671
Phone Number
949-651-1202
Fax Number
949-552-9493
person
Provider Business Mailing Address Details
Address
4950 Barranca Pkwy
City
State
Zip
92604-4671
Phone Number
949-651-1202
Fax Number
949-552-9493
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
E2056 (California)
Definition
Definition to come...
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