Provider Demographics
NPI:1023016466
Name:HESLIP, JOHN E (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:E
Last Name:HESLIP
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3271 CLEAR VISTA CT NE
Mailing Address - Street 2:SUMMIT PARK CENTER-INTERNAL MED & PEDS
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49525-9477
Mailing Address - Country:US
Mailing Address - Phone:616-391-7800
Mailing Address - Fax:616-391-7838
Practice Address - Street 1:3271 CLEAR VISTA CT NE
Practice Address - Street 2:SUMMIT PARK CENTER-INTERNAL MED & PEDS
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49525-9477
Practice Address - Country:US
Practice Address - Phone:616-391-7800
Practice Address - Fax:616-391-7838
Is Sole Proprietor?:No
Enumeration Date:2005-07-11
Last Update Date:2021-03-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301052755208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4202363Medicaid
MI4202363Medicaid
F31062Medicare UPIN