Individual provider · NPI-1
Dreana Heidenreich
Assistant, Podiatric · Grand Blanc, MI
NPI number1780577254
StatusActive
Last updated in NPPESJun 2, 2025
Details
- NPI
- 1780577254
- Entity type
- Individual (NPI-1)
- Name
- Dreana Heidenreich
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 2, 2025
- Certification date
- Jun 2, 2025
- Last updated
- Jun 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 211D00000X | Assistant, Podiatric | 5951001585 | – | Yes |
Practice location
1 Genesys PkwyGrand Blanc, MI 48439-8065
Phone 810-606-5987
Mailing address
319 Fairlawn DrRound Lake Park, IL 60073-3114
Phone 815-541-9453
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