Individual provider · NPI-1

Dr. Heidi Lynelle Duff Gullett, M.D., M.P.H.

Family Medicine · Cleveland, OH

NPI number1487722690
StatusActive
Last updated in NPPESMar 7, 2023

Details

NPI
1487722690
Entity type
Individual (NPI-1)
Name
Dr. Heidi Lynelle Duff Gullett
Credential
M.D., M.P.H.
Sex
Female
Sole proprietor
No
Enumeration date
Dec 4, 2006
Last updated
Mar 7, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine093903OHYes
207Q00000X Family MedicineMD27309OR
207Q00000X Family Medicine42890TN
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine093903OH
207Q00000X Family Medicine41451KY

Practice location

11100 Euclid Ave
Cleveland, OH 44106-1716

Phone 216-844-3944

Mailing address

11100 Euclid Ave
Cleveland, OH 44106-1716

Phone 216-844-3944

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