Individual provider · Type 1 NPI
Michael William Heaslet, D.P.M.
Foot & Ankle Surgery Podiatrist · Irvine, CA
NPI number
1790735397
Active
Practice location
4950 Barranca Pkwy, Suite 308
Irvine, CA 92604-4671
Fax (949) 552-9493
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | E2056 (CA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1790735397
Michael William Heaslet, D.P.M.'s National Provider Identifier is 1790735397, issued on May 12, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Irvine, CA. The record was last updated on Sep 28, 2011.