Individual provider · NPI-1

Dr. Anthony James Heidt, DO

Neuromusculoskeletal Medicine & OMM · Okemos, MI

NPI number1770907867

StatusActive

Last updated in NPPESMar 14, 2023

Details

NPI: 1770907867
Entity type: Individual (NPI-1)
Name: Dr. Anthony James Heidt
Credential: DO
Sex: Male
Sole proprietor: Yes
Enumeration date: Feb 10, 2014
Certification date: Mar 14, 2023
Last updated: Mar 14, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
204D00000X	Neuromusculoskeletal Medicine & OMM	5101022939	MI	Yes
208D00000X	General Practice	0102204454	VA
390200000X	Student in an Organized Health Care Education/Training Program	–	–

Practice location

2154 Commons Pkwy
Okemos, MI 48864-3986

Phone 517-657-7906 · Fax 517-657-7908

Mailing address

2154 Commons Pkwy
Okemos, MI 48864-3986

Phone 517-657-7906 · Fax 517-657-7908

Other practice locations

10020 Korengal Valley Blvd
141
Fort Drum, NY 13602-0000

Phone 315-772-5587 · Fax 315-772-5703

4660 S Hagadorn Rd Ste 500
East Lansing, MI 48823-6804

Phone 517-432-6144 · Fax 517-432-6150

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