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Heather Gibson
NPI 1629431242 · on the registry since 2016
Practice
- Address
- 71169 Old 205
Edwardsburg, MI 49112 - Phone
- (574) 304-5762
Registry record
- Primary taxonomy
- 247200000X
247200000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-03-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan