DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JOHN ROBERT HECKENLIVELY MD

MEDICARE: JOHN ROBERT HECKENLIVELY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology PhysicianG27232CA
2207W00000XOphthalmology Physician4301082763MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
200G272320OTHERCAMEDICAL PPIN #

General Provider Information

NPI Number : 1801818901
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN ROBERT HECKENLIVELY MD
Provider Business Mailing Address
First Line : 3621 S STATE
Second Line : 700 KMS PLACE
City : ANN ARBOR
State : MI
Zip : 48108
Country : US
Telephone Number : 734-936-2047
Fax Number :
Provider Business Practice Location Address
First Line : 1000 WALL ST
Second Line :
City : ANN ARBOR
State : MI
Zip : 48105-1912
Country : US
Telephone Number : 734-764-4190
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 03/21/2012

Similar Medicare Providers

1912167719 — JENNIFER YEONG-HUA LI MD
Practice Location Address:
1000 WALL ST
ANN ARBOR, MI
48105-1912
Practice Phone: 734-764-4190
Practice Fax:
1346233681 — CARLTON J FOSTER O.D.
Practice Location Address:
1000 WALL ST
ANN ARBOR, MI
48105-1912
Practice Phone: 734-764-4190
Practice Fax:
1922069939 — SUJATA SURENDAR PUROHIT MD
Practice Location Address:
1000 WALL ST
ANN ARBOR, MI
48105-1912
Practice Phone: 734-764-4190
Practice Fax:
1386608081 — DR. PAUL JAMES GRENIER O.D.
Practice Location Address:
1000 WALL ST
ANN ARBOR, MI
48105-1912
Practice Phone: 734-764-4190
Practice Fax:
1528022464 — THOMAS W GARDNER MD
Practice Location Address:
1000 WALL ST
ANN ARBOR, MI
48105-1912
Practice Phone: 734-764-4190
Practice Fax:
1114941622 — DR. SARAH K. WOOD O.D.
Practice Location Address:
1000 WALL ST
ANN ARBOR, MI
48105-1912
Practice Phone: 734-764-4190
Practice Fax:

Directions to “ JOHN ROBERT HECKENLIVELY MD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.