Individual provider · Type 1 NPI

Heidi Wallour, MD

Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI number 1114712874 Active

Practice location

3990 John R, Suite 615 Harper Professional Building
Detroit, MI 48201

Call (313) 745-4195 Map

Mailing address

4201 St. Antoine, Uhc 9C
Detroit, MI 48201

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114712874

Heidi Wallour, MD's National Provider Identifier is 1114712874, issued on Apr 14, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on Apr 14, 2025.