Emily Heasley, M.D.
Obstetrics & Gynecology in South Bend, IN. Individual provider (NPI-1).
NPI number1295174530
StatusActive
Last updated in NPPESJun 21, 2022
Details
- NPI
- 1295174530
- Entity type
- Individual (NPI-1)
- Name
- Emily Heasley
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 20, 2013
- Certification date
- Jun 21, 2022
- Last updated
- Jun 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 01078476A | IN | Yes |
Other names
- Emily Starrick (Former Name)
Practice location
211 N Eddy StSouth Bend, IN 46617-3096
Phone 574-234-8161
Mailing address
211 N Eddy StSouth Bend, IN 46617-3096
Phone 574-234-8161
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