Individual provider · Type 1 NPI

Jack Heethouse, DO

Specialist · Muskegon, MI

NPI number 1679523674 Active

Practice location

1400 Mercy Dr., Suite 100
Muskegon, MI 49444

Fax (231) 733-5212

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X5101012999 (MI)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1679523674

Jack Heethouse, DO's National Provider Identifier is 1679523674, issued on May 11, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Muskegon, MI. The record was last updated on Nov 13, 2012.